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MRS. SHAYMA MORTAZAVI MFT
NPI 1629315098
Marriage & Family Therapist in Riverside, CA

Active since January 05, 2013PECOS EnrolledAccepts Medicare Assignment
5225 CANYON CREST DR BLDG 100, RIVERSIDE, CA 92507(951) 248-4000 Get Directions Write a Review

NPPES record last updated: November 18, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Shayma Mortazavi Mft NPPES

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

MRS. SHAYMA MORTAZAVI MFT (NPI 1629315098) is an individual marriage & family therapist in Riverside, California, licensed in California (LMFT80323) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1629315098
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMRS. SHAYMA MORTAZAVICredential: MFT
Location Address5225 CANYON CREST DR BLDG 100Riverside, CA 92507-6301
Mailing Address5225 Canyon Crest Dr Bldg 100Riverside, CA 92507-6301 · (951) 248-4000
Phone(951) 248-4000
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJanuary 5, 2013
Last NPPES UpdateNovember 18, 2021
NPPES CertifiedNovember 16, 2021
✔ NPI 1629315098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · LMFT80323
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
5225 CANYON CREST DR BLDG 100, Riverside, CA 92507
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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

Mrs. Shayma Mortazavi Mft 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 ID3476099599
PECOS Enrollment IDI20240725002020
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 Shayma Mortazavi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern California Permanente Medical Group
8.7 mi
Health Maintenance Organization
10800 MAGNOLIA AVE
Riverside, CA 92505
  • Reassigned Medicare billing, California enrollment
  • 5,228 clinicians in this Medicare group
NPI 1316979834 (866) 984-7483
Sud Specialty Group - Ca
353 mi
Addiction Medicine
4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054
  • Reassigned Medicare billing, California enrollment
  • 1,607 clinicians in this Medicare group
NPI 1972138238 (323) 205-7088

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 6

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

SARAH CHRISTINE CAPILI PALACIO
Marriage & Family Therapist
5225 CANYON CREST DR BLDG 100
RIVERSIDE, CA 92507
Riverside County (951) 248-4000
CHRISTIAN BERNARDO GARCIA MARAVILLAS LMFT
Marriage & Family Therapist
5225 CANYON CREST DR BLDG 100
RIVERSIDE, CA 92507
Riverside County (951) 248-4000
JORGE SANDOVAL MA, IMF
Marriage & Family Therapist
5225 CANYON CREST DR BLDG 100
RIVERSIDE, CA 92507
Riverside County (951) 248-4000
MARTHA TON
Marriage & Family Therapist
5225 CANYON CREST DR BLDG 100
RIVERSIDE, CA 92507
Riverside County (951) 248-4000
JENNIFER L SCHROEDERUS KOSLOSKE M.D.
Psychiatry & Neurology (Psychiatry)
5225 CANYON CREST DR BLDG 100
RIVERSIDE, CA 92507
Riverside County (951) 248-4000
KRISTEN S KIM
Student in an Organized Health Care Education/Training Program
5225 CANYON CREST DR BLDG 100
RIVERSIDE, CA 92507
Riverside County (909) 520-1851

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 Shayma Mortazavi's NPI number?

The NPI number for Shayma Mortazavi is 1629315098. It was assigned to this individual provider in the NPPES registry on January 5, 2013.

Where is Shayma Mortazavi located?

Shayma Mortazavi practices at 5225 Canyon Crest Dr Bldg 100, Riverside, CA 92507. The listed phone number is (951) 248-4000.

What is Shayma Mortazavi's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Shayma Mortazavi enrolled in Medicare?

Yes. Shayma Mortazavi 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 Shayma Mortazavi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shayma Mortazavi reassigns Medicare benefits to 2 organizations: Southern California Permanente Medical Group (Riverside, CA) and Sud Specialty Group - Ca (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 Shayma Mortazavi'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 Shayma Mortazavi was last updated on November 18, 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.