DR. KAMBIZ ETESAMI M.D.
NPI 1629374020
Transplant Surgery in Los Angeles, CA
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
Specialties & Licenses 2
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Kambiz Etesami reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Angeles, CA 90033
- Reassigned Medicare billing, California enrollment
- 2,445 clinicians in this Medicare group
Los Angeles, CA 90027
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Childrens Hospital Los Angeles Medical Group Inc
- 1,281 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 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organizations bill Medicare for Kambiz Etesami's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kambiz Etesami reassigns Medicare benefits to 2 organizations: Usc Care Medical Group, Inc (Los Angeles, CA) and Children's Hospital Los Angeles Medical Group, Inc. (Los Angeles, 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 Kambiz Etesami'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 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.
# Dr. Kambiz Etesami, M.D. · NPI 1629374020
Transplant Surgery physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since February 2, 2011.
## Identity
- **NPI:** 1629374020 (Entity type: Individual)
- **Enumerated:** February 2, 2011
- **Primary specialty:** Transplant Surgery · taxonomy 204F00000X
- **State license:** A150383 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1516 SAN PABLO ST FL 2, Los Angeles, CA 90033-5313
- **Phone:** (323) 442-5908
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Usc Care Medical Group, Inc (NPI 1902846306, Los Angeles, CA); Children's Hospital Los Angeles Medical Group, Inc. (NPI 1265530653, Los Angeles, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** November 27, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1629374020) · Data from the CMS NPPES public registry.