DR. KAMBIZ ETESAMI M.D.
NPI 1629374020
Transplant Surgery in Los Angeles, CA

Active since February 02, 2011PECOS EnrolledAccepts Medicare Assignment
1516 SAN PABLO ST FL 2, LOS ANGELES, CA 90033(323) 442-5908 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 25, 2020, Sep 11, 2020, Mar 17, 2018 and 2 more (5 updates tracked since 2016).

About Dr. Kambiz Etesami M.d. NPPES

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

DR. KAMBIZ ETESAMI M.D. (NPI 1629374020) is an individual transplant surgery provider in Los Angeles, California, licensed in California (A150383) and active in the NPI registry since February 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1629374020
Entity TypeIndividualMale
Primary Taxonomy204F00000X
Provider Legal NameDR. KAMBIZ ETESAMICredential: M.D.
Location Address1516 SAN PABLO ST FL 2Los Angeles, CA 90033-5313
Mailing AddressPo Box 31309Los Angeles, CA 90031-0309 · (323) 442-5908
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateFebruary 2, 2011
Last NPPES UpdateNovember 27, 20235 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2020
NPI 1629374020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyTransplant SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204F00000X
License Licensed in CA · A150383
Definition
A surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee
Also ListedSurgeryTaxonomy 208600000X · License 2016025186 (MO)
1516 SAN PABLO ST FL 2, Los Angeles, CA 90033

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Kambiz Etesami 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 ID3577850791
PECOS Enrollment IDI20170808001092
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.

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.

Transplant Surgery
1516 SAN PABLO ST FL 2
LOS ANGELES, CA 90033
Transplant Surgery
1516 SAN PABLO ST FL 2
LOS ANGELES, CA 90033
Transplant Surgery
1516 SAN PABLO ST FL 2
LOS ANGELES, CA 90033
Nurse Practitioner
1516 SAN PABLO ST FL 2
LOS ANGELES, CA 90033
Nurse Practitioner (Family)
1516 SAN PABLO ST FL 2
LOS ANGELES, CA 90033
Physician Assistant
1516 SAN PABLO ST FL 2
LOS ANGELES, CA 90033
Transplant Surgery
1516 SAN PABLO ST FL 2
LOS ANGELES, CA 90033
Transplant Surgery
1516 SAN PABLO ST FL 2
LOS ANGELES, CA 90033

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 Kambiz Etesami's NPI number?

The NPI number for Kambiz Etesami is 1629374020. It was assigned to this individual provider in the NPPES registry on February 2, 2011.

Where is Kambiz Etesami located?

Kambiz Etesami practices at 1516 San Pablo St Fl 2, Los Angeles, CA 90033. The listed phone number is (323) 442-5908.

What is Kambiz Etesami's specialty?

The primary specialty registered for this NPI is Transplant Surgery with taxonomy code 204F00000X.

Is Kambiz Etesami enrolled in Medicare?

Yes. Kambiz Etesami 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.

When was this NPI record last updated?

The NPPES record for Kambiz Etesami was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.