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

Q: 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.

Q: What is Khashayar Ebrahimzadeh's specialty?

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

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: August 09, 2026.

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

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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, and ordering and referring status from the CMS PECOS system.

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.

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 9

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

MORGAN LEE NOWLIN DO

Family Medicine