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SHABNAM GHAZIZADEH MD
NPI 1649603499
Otolaryngology - Facial Plastic Surgery in Anaheim, CA

Active since August 15, 2013PECOS Enrolled
500 S ANAHEIM HILLS RD STE 242, ANAHEIM, CA 92807(949) 209-9748 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 13, 2023, Mar 24, 2016 (2 updates tracked since 2016).

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

NPI1649603499
Entity TypeIndividualFemale
Primary Taxonomy207YS0123X
Provider Legal NameSHABNAM GHAZIZADEHCredential: MD
Location Address500 S ANAHEIM HILLS RD STE 242Anaheim, CA 92807-4760
Mailing Address500 S Anaheim Hills Rd Ste 242Anaheim, CA 92807-4760 · (949) 209-9748
Phone(949) 209-9748
Sole ProprietorNo
Enumeration DateAugust 15, 2013
Last NPPES UpdateJanuary 21, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2025
✔ NPI 1649603499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
License✔ Licensed in CA · A155697
Definition
An otolaryngologist who specializes in facial plastic surgery.
500 S ANAHEIM HILLS RD STE 242, Anaheim, CA 92807
Open in Google Maps ↗

Secondary Practice Location 1

Location 11401 Avocado Ave Ste 610Newport Beach, CA 92660-8720 · Phone (949) 209-9748

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shabnam Ghazizadeh Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 2

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

HAILEY DE LA ROCA NURSE PRACTITIONER
Nurse Practitioner (Family)
500 S ANAHEIM HILLS RD STE 242
ANAHEIM, CA 92807
Orange County (714) 200-2990
SABA MOTAKEF MD
Plastic Surgery
500 S ANAHEIM HILLS RD STE 242
ANAHEIM, CA 92807
Orange County (714) 935-8932

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.

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 18 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.