DR. ALI KHAZAEI NEZHAD M.D.
NPI 1669677837
Obstetrics & Gynecology in San Bernardino, CA

Q: What is Ali Khazaei Nezhad's NPI number?

The NPI number for Ali Khazaei Nezhad is 1669677837. It was assigned to this individual provider in the NPPES registry on June 18, 2007.

Q: What is Ali Khazaei Nezhad's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Active since June 18, 2007PECOS Enrolled

742 W HIGHLAND AVE, SAN MARCOS MEDICAL GROUP INC., SAN BERNARDINO, CA 92405(312) 953-9909(909) 881-7330 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 3, 2024, Dec 2, 2021 (2 updates tracked since 2021).

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About Dr. Ali Khazaei Nezhad M.d. NPPES

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

DR. ALI KHAZAEI NEZHAD M.D. (NPI 1669677837) is an individual obstetrics & gynecology provider in San Bernardino, California, licensed in California (A108351) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669677837

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameDR. ALI KHAZAEI NEZHADCredential: M.D.

Location Address742 W HIGHLAND AVE, SAN MARCOS MEDICAL GROUP INC.San Bernardino, CA 92405-3839

Mailing Address27652 Homestead RdLaguna Niguel, CA 92677-6603 · (312) 953-9909

Phone(312) 953-9909

Fax(909) 881-7330

Sole ProprietorYes

Enumeration DateJune 18, 2007

Last NPPES UpdateOctober 3, 20242 updates tracked since enumeration

NPPES CertifiedOctober 3, 2024

✔ NPI 1669677837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in CA · A108351

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X · License 250973 (MA)

742 W HIGHLAND AVE, San Bernardino, CA 92405

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Other Identifiers 1

Medicaid110093581AMA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ali Khazaei Nezhad M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Ali Khazaei Nezhad reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group

36 mi

Health Maintenance Organization

441 N LAKEVIEW AVE
Anaheim, CA 92807

Reassigned Medicare billing, California enrollment
13,921 clinicians in this Medicare group

NPI 1952333460 (714) 279-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92405 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$136.04 typical visit price

range $59.60 – $179.42

Typical copayment $34.01 (range $14.90 – $44.85)

Most-billed visit code 99204

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

DR. CECIL CAGUIOA LAQUI M.D.

Internal Medicine

742 W HIGHLAND AVE
SAN BERNARDINO, CA 92405

San Bernardino County (909) 881-7320

MR. BRUCE G MCCANN PA-C

Physician Assistant (Medical)

742 W HIGHLAND AVE
SAN BERNRDINO, CA 92405

San Bernardino County (909) 881-7320

SACHIN KUMAR CHATTA M.D.

Family Medicine

742 W HIGHLAND AVE
SAN BERNARDINO, CA 92405

San Bernardino County (909) 881-7320

MARETHA TYCE NP

Nurse Practitioner (Family)

742 W HIGHLAND AVE
SAN BERNARDINO, CA 92405

San Bernardino County (909) 881-7320

MISS VICKI NICOLE GONZALEZ JR.

Nurse Practitioner

742 W HIGHLAND AVE
SAN BERNARDINO, CA 92405

San Bernardino County (909) 881-7320

MS. ELAINE MARIE GACKLE NP

Nurse Practitioner (Family)

742 W HIGHLAND AVE
SAN BERNARDINO, CA 92405

San Bernardino County (909) 213-0001

ANDREW REZK DO

Psychiatry & Neurology (Psychiatry)

742 W HIGHLAND AVE
SAN BERNARDINO, CA 92405

San Bernardino County (909) 881-7320

DR. DANIEL LEE BRUCH D.O.

Pediatrics

742 W HIGHLAND AVE
SAN BERNARDINO, CA 92405

San Bernardino County (909) 881-7320

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 Ali Khazaei Nezhad's NPI number?

The NPI number for Ali Khazaei Nezhad is 1669677837. It was assigned to this individual provider in the NPPES registry on June 18, 2007.

Where is Ali Khazaei Nezhad located?

Ali Khazaei Nezhad practices at 742 W Highland Ave San Marcos Medical Group Inc., San Bernardino, CA 92405. The listed phone number is (312) 953-9909.

What is Ali Khazaei Nezhad's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Ali Khazaei Nezhad enrolled in Medicare?

Yes. Ali Khazaei Nezhad is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ali Khazaei Nezhad's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ali Khazaei Nezhad reassigns Medicare benefits to Southern California Permanente Medical Group (Anaheim, 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 Ali Khazaei Nezhad'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 Ali Khazaei Nezhad was last updated on October 3, 2024. 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.