DR. AZAM SHAMANI MD
NPI 1699906032
Family Medicine in San Diego, CA

Active since August 03, 2009PECOS EnrolledAccepts Medicare AssignmentCLIA 05D2072927 · Waiver
5555 RESERVOIR DR, STE 312, SAN DIEGO, CA 92120(619) 639-7285(619) 639-7286 Get Directions Write a Review

NPPES record last updated: June 16, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Azam Shamani Md NPPES

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

DR. AZAM SHAMANI MD (NPI 1699906032) is an individual family medicine provider in San Diego, California, licensed in California (A109713) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through February 6, 2028, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1699906032
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. AZAM SHAMANICredential: MD
Location Address5555 RESERVOIR DR, STE 312San Diego, CA 92120-5134
Mailing Address5555 Reservoir Dr, Ste 312San Diego, CA 92120-5134 · (619) 639-7285 · Fax (619) 639-7286
Fax(619) 639-7286
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateAugust 3, 2009
Last NPPES UpdateJune 16, 2015
NPI 1699906032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A109713
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5555 RESERVOIR DR, San Diego, CA 92120

Other Identifiers 1

OtherA109713CA · License Number

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. Azam Shamani Md 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 ID4880856038
PECOS Enrollment IDI20120503000639
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2072927

Azam Shamani MD · San Diego, CA
Active · expires Feb 6, 2028
CLIA Number05D2072927
Laboratory TypePhysician Office
Certificate Effective DateFebruary 7, 2026
Certificate Expiration DateFebruary 6, 2028
Laboratory DirectorAzam Shamani MD
Laboratory Phone(619) 639-7285
Laboratory LocationAzam Shamani MD5555 Reservoir Dr Ste 312, San Diego, CA 92120
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 16

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
1,159 services178 patients
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes G0446
This is a yearly, personal consultation focused on behaviors affecting heart health. It lasts 15 minutes and may cover topics like diet, exercise, and stress management. It's about learning healthy habits to protect your heart.
149 services149 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
131 services131 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
130 services130 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
126 services126 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
71 services64 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92120 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers12 claims45 services$1.97 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$215.64 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Specialist
5555 RESERVOIR DR, SUITE 203
SAN DIEGO, CA 92120
Social Worker (Clinical)
5555 RESERVOIR DR
SAN DIEGO, CA 92120
Behavior Technician
5555 RESERVOIR DR
SAN DIEGO, CA 92120
Specialist
5555 RESERVOIR DR, SUITE 207
SAN DIEGO, CA 92120
Pharmacist
5555 RESERVOIR DR, SUITE #114
SAN DIEGO, CA 92120
Internal Medicine (Hematology & Oncology)
5555 RESERVOIR DR, SUITE 306
SAN DIEGO, CA 92120
Internal Medicine (Endocrinology, Diabetes & Metabolism)
5555 RESERVOIR DR, STE 312
SAN DIEGO, CA 92120
Internal Medicine (Cardiovascular Disease)
5555 RESERVOIR DR, STE 200
SAN DIEGO, CA 92120

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 Azam Shamani's NPI number?

The NPI number for Azam Shamani is 1699906032. It was assigned to this individual provider in the NPPES registry on August 3, 2009.

Where is Azam Shamani located?

Azam Shamani practices at 5555 Reservoir Dr Ste 312, San Diego, CA 92120. The listed phone number is (619) 639-7285.

What is Azam Shamani's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Azam Shamani enrolled in Medicare?

Yes. Azam Shamani 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.

Does Azam Shamani hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2072927) is associated with this NPI, valid through February 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Azam Shamani was last updated on June 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.