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DR. KHASHAYAR EBRAHIMZADEH MD
NPI 1770144016
Pediatrics in Blythe, CA

Active since June 26, 2019PECOS Enrolled
1415 W HOBSONWAY, BLYTHE, CA 92225(760) 922-4981 Get Directions Write a Review

NPPES record last updated: February 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 7, 2025, Aug 22, 2022 (2 updates tracked since 2022).

About Dr. Khashayar Ebrahimzadeh Md NPPES

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

DR. KHASHAYAR EBRAHIMZADEH MD (NPI 1770144016) is an individual pediatrics provider in Blythe, California, licensed in California (A176374) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770144016
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. KHASHAYAR EBRAHIMZADEHCredential: MD
Location Address1415 W HOBSONWAYBlythe, CA 92225-1479
Mailing Address1415 W HobsonwayBlythe, CA 92225-1479 · (760) 922-4981
Phone(760) 922-4981
Sole ProprietorYes
Enumeration DateJune 26, 2019
Last NPPES UpdateFebruary 7, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2025
✔ NPI 1770144016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in CA · A176374✔ Licensed in MI · 4351045098
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1415 W HOBSONWAY, Blythe, CA 92225
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Other Identifiers 1

Medicaid4351045098MI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Khashayar Ebrahimzadeh 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.

Medicare Billing Reassignment

Medicare enrollment records show Khashayar Ebrahimzadeh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinicas De Salud Del Pueblo, Inc
Same address
Federally Qualified Health Center (FQHC)
1415 W HOBSONWAY
Blythe, CA 92225
  • Reassigned Medicare billing, California enrollment
  • 135 clinicians in this Medicare group
NPI 1124115431 (760) 922-4981

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 92225 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

Other Providers at the Same Location NPPES 10

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

MORGAN LEE NOWLIN DO
Family Medicine
1415 W HOBSONWAY
BLYTHE, CA 92225
Riverside County (562) 319-9554
CLINICAS DE SALUD DEL PUEBLO, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
1415 W HOBSONWAY
BLYTHE, CA 92225
Riverside County (760) 922-4981
SHARON EMOLOT ATYANG MD
Family Medicine
1415 W HOBSONWAY
BLYTHE, CA 92225
Riverside County (760) 922-4981
DR. GEORGE LEVY PARKER DDS
Dentist (General Practice)
1415 W HOBSONWAY
BLYTHE, CA 92225
Riverside County (909) 900-3303
DR. KENNETH GRANT LUCERO M.D.
Family Medicine
1415 W HOBSONWAY
BLYTHE, CA 92225
Riverside County (760) 922-4981
DR. WILLIAM LACROIX HOOLIHAN DDS
Dentist (General Practice)
1415 W HOBSONWAY
BLYTHE, CA 92225
Riverside County (760) 922-4981
DAVID DO DMD
Dentist (General Practice)
1415 W HOBSONWAY
BLYTHE, CA 92225
Riverside County (760) 544-6996
DR. AMIRA ALJAMAL DNP, FNP-BC
Nurse Practitioner
1415 W HOBSONWAY
BLYTHE, CA 92225
Riverside County (760) 922-4981

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 Khashayar Ebrahimzadeh's NPI number?

The NPI number for Khashayar Ebrahimzadeh is 1770144016. It was assigned to this individual provider in the NPPES registry on June 26, 2019.

Where is Khashayar Ebrahimzadeh located?

Khashayar Ebrahimzadeh practices at 1415 W Hobsonway, Blythe, CA 92225. The listed phone number is (760) 922-4981.

What is Khashayar Ebrahimzadeh's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Khashayar Ebrahimzadeh enrolled in Medicare?

Yes. Khashayar Ebrahimzadeh is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Khashayar Ebrahimzadeh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Khashayar Ebrahimzadeh reassigns Medicare benefits to Clinicas De Salud Del Pueblo, Inc (Blythe, 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 Khashayar Ebrahimzadeh'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 Khashayar Ebrahimzadeh was last updated on February 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.