SHABNAM GHAZIZADEH MD
NPI 1649603499
Otolaryngology - Facial Plastic Surgery in Anaheim, CA
About Shabnam Ghazizadeh Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHABNAM GHAZIZADEH MD (NPI 1649603499) is an individual facial plastic surgery provider in Anaheim, California, licensed in California (A155697) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Newport Beach.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shabnam Ghazizadeh Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Shabnam Ghazizadeh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Chino Hills, CA 91709
- Reassigned Medicare billing, California enrollment
- 5,228 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 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ANAHEIM, CA 92807
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 Ghazizadeh's NPI number?
The NPI number for Shabnam Ghazizadeh is 1649603499. It was assigned to this individual provider in the NPPES registry on August 15, 2013.
Where is Shabnam Ghazizadeh located?
Shabnam Ghazizadeh practices at 500 S Anaheim Hills Rd Ste 242, Anaheim, CA 92807. The listed phone number is (949) 209-9748.
What is Shabnam Ghazizadeh's specialty?
The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.
Is Shabnam Ghazizadeh enrolled in Medicare?
Yes. Shabnam Ghazizadeh is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Shabnam Ghazizadeh's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shabnam Ghazizadeh reassigns Medicare benefits to Southern California Permanente Medical Group (Chino Hills, 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 Ghazizadeh'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 Ghazizadeh was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.
# Shabnam Ghazizadeh, MD · NPI 1649603499
Facial Plastic Surgery physician in Anaheim, California. Individual provider, active in the CMS NPPES registry since August 15, 2013.
## Identity
- **NPI:** 1649603499 (Entity type: Individual)
- **Enumerated:** August 15, 2013
- **Primary specialty:** Otolaryngology - Facial Plastic Surgery · taxonomy 207YS0123X
- **State license:** A155697 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 500 S ANAHEIM HILLS RD STE 242, Anaheim, CA 92807-4760
- **Phone:** (949) 209-9748
## 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 1396287082, Chino Hills, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1649603499) · Data from the CMS NPPES public registry.