SHABNAM KHASHABI TAYLOR M.D.
NPI 1487944062
Student in an Organized Health Care Education/Training Program in La Jolla, CA

Active since April 15, 2011PECOS EnrolledAccepts Medicare Assignment
9415 CAMPUS POINT DR, LA JOLLA, CA 92093(858) 855-1569 Get Directions Write a Review

NPPES record last updated: December 16, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shabnam Khashabi Taylor M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHABNAM KHASHABI TAYLOR M.D. (NPI 1487944062) is an individual student in an organized health care education/training program in La Jolla, California and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1487944062
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSHABNAM KHASHABI TAYLORCredential: M.D.
Location Address9415 CAMPUS POINT DRLa Jolla, CA 92093-1350
Mailing Address5350 Toscana Way # E315San Diego, CA 92122-5672 · (530) 417-5912
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateApril 15, 2011
Last NPPES UpdateDecember 16, 2021
✔ NPI 1487944062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
9415 CAMPUS POINT DR, La Jolla, CA 92093

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shabnam Khashabi Taylor M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678882511
PECOS Enrollment IDI20151016000010
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Shabnam Taylor reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ophthalmology
200 W ARBOR DR
San Diego, CA 92103
  • Reassigned Medicare billing, California enrollment
  • 129 clinicians in this Medicare group
Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Eyewear Supplier
9415 CAMPUS POINT DR
LA JOLLA, CA 92093
Student in an Organized Health Care Education/Training Program
9415 CAMPUS POINT DR
LA JOLLA, CA 92093
Ophthalmology
9415 CAMPUS POINT DR, MC 0946
LA JOLLA, CA 92093
Ophthalmology
9415 CAMPUS POINT DR
LA JOLLA, CA 92093
Ophthalmology
9415 CAMPUS POINT DR
LA JOLLA, CA 92093
Chronic Disease Hospital
9415 CAMPUS POINT DR, BOX 0946
LA JOLLA, CA 92093
Student in an Organized Health Care Education/Training Program
9415 CAMPUS POINT DR, UNIVERSITY OF CALIFORNIA SAN DIEGO
LA JOLLA, CA 92093
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
9415 CAMPUS POINT DR
LA JOLLA, CA 92093

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shabnam Taylor's NPI number?

The NPI number for Shabnam Taylor is 1487944062. It was assigned to this individual provider in the NPPES registry on April 15, 2011.

Where is Shabnam Taylor located?

Shabnam Taylor practices at 9415 Campus Point Dr, La Jolla, CA 92093. The listed phone number is (858) 855-1569.

What is Shabnam Taylor's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Shabnam Taylor enrolled in Medicare?

Yes. Shabnam Taylor is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Shabnam Taylor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shabnam Taylor reassigns Medicare benefits to 2 organizations: Regents Of The University Of California (San Diego, CA) and Permanente Medical Group Inc (Santa Clara, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shabnam Taylor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shabnam Taylor was last updated on December 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.