BORNA SAMET SHIRVANI MD
NPI 1780211714
Student in an Organized Health Care Education/Training Program in Los Angeles, CA
About Borna Samet Shirvani Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BORNA SAMET SHIRVANI MD (NPI 1780211714) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Borna Samet Shirvani 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.
Medicare Billing Reassignments
2Medicare enrollment records show Borna Shirvani reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Long Beach, CA 90806
- Reassigned Medicare billing, California enrollment
- 107 clinicians in this Medicare group
Valencia, CA 91355
- Reassigned Medicare billing, California enrollment
- 833 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
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 Borna Shirvani's NPI number?
The NPI number for Borna Shirvani is 1780211714. It was assigned to this individual provider in the NPPES registry on March 27, 2020.
Where is Borna Shirvani located?
Borna Shirvani practices at 1200 N. State Street Clinic Tower, Suite A7d, Los Angeles, CA 90033. The listed phone number is (714) 418-3246.
What is Borna Shirvani's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Borna Shirvani enrolled in Medicare?
Yes. Borna Shirvani 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.
Which organizations bill Medicare for Borna Shirvani's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Borna Shirvani reassigns Medicare benefits to 2 organizations: California Anesthesia Associates Medical Group, Inc. (Long Beach, CA) and Cep America - Anesthesia PC (Valencia, CA). Each 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 Borna Shirvani'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 Borna Shirvani was last updated on March 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Borna Samet Shirvani, MD · NPI 1780211714
Student in an Organized Health Care Education/Training Program provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since March 27, 2020.
## Identity
- **NPI:** 1780211714 (Entity type: Individual)
- **Enumerated:** March 27, 2020
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1200 N. STATE STREET, CLINIC TOWER, SUITE A7D, Los Angeles, CA 90033-1029
- **Phone:** (714) 418-3246
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): California Anesthesia Associates Medical Group, Inc. (NPI 1457399933, Long Beach, CA); Cep America - Anesthesia PC (NPI 1396423067, Valencia, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** March 27, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1780211714) · Data from the CMS NPPES public registry.