DR. SHABNAM FOROUZANDEH M.D.
NPI 1508093188
Emergency Medicine in Los Angeles, CA
About Dr. Shabnam Forouzandeh M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHABNAM FOROUZANDEH M.D. (NPI 1508093188) is an individual emergency medicine provider in Los Angeles, California, licensed in California (A120836) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Shabnam Forouzandeh M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Shabnam Forouzandeh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90034
- Reassigned Medicare billing, California enrollment
- 13,921 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90034 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90034
LOS ANGELES, CA 90034
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 Forouzandeh's NPI number?
The NPI number for Shabnam Forouzandeh is 1508093188. It was assigned to this individual provider in the NPPES registry on June 22, 2009.
Where is Shabnam Forouzandeh located?
Shabnam Forouzandeh practices at 6041 Cadillac Ave, Los Angeles, CA 90034. The listed phone number is (323) 857-3161.
What is Shabnam Forouzandeh's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Shabnam Forouzandeh enrolled in Medicare?
Yes. Shabnam Forouzandeh is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Shabnam Forouzandeh's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shabnam Forouzandeh reassigns Medicare benefits to Southern California Permanente Medical Group (Los Angeles, CA). The 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 Forouzandeh'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 Forouzandeh was last updated on November 19, 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.
# Dr. Shabnam Forouzandeh, M.D. · NPI 1508093188
Emergency Medicine physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since June 22, 2009.
## Identity
- **NPI:** 1508093188 (Entity type: Individual)
- **Enumerated:** June 22, 2009
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** A120836 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6041 CADILLAC AVE, Los Angeles, CA 90034-1702
- **Phone:** (323) 857-3161
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1043242563, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 19, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1508093188) · Data from the CMS NPPES public registry.