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FARIBORZ LALEZARZADEH DO
NPI 1811004625
Surgery in San Bernardino, CA

Active since August 25, 2006PECOS EnrolledAccepts Medicare Assignment
164 W HOSPITALITY LN STE 100, SAN BERNARDINO, CA 92408(909) 883-8834(909) 644-4021 Get Directions Write a Review

NPPES record last updated: November 8, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 8, 2022, Jun 5, 2019 (2 updates tracked since 2019).

About Fariborz Lalezarzadeh Do NPPES

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

FARIBORZ LALEZARZADEH DO (NPI 1811004625) is an individual surgery provider in San Bernardino, California, licensed in California (A8309) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1811004625
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameFARIBORZ LALEZARZADEHCredential: DO
Location Address164 W HOSPITALITY LN STE 100San Bernardino, CA 92408-3316
Mailing Address700 E Redlands Blvd Ste U506Redlands, CA 92373-6109 · (909) 883-8834 · Fax (909) 883-8834
Phone(909) 883-8834
Fax(909) 644-4021
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateAugust 25, 2006
Last NPPES UpdateNovember 8, 20222 updates tracked since enumeration
NPPES CertifiedNovember 8, 2022
✔ NPI 1811004625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in CA · A8309
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
164 W HOSPITALITY LN STE 100, San Bernardino, CA 92408
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Other Identifiers 3

Other020A83090CA · Medicare Id Type Unspecified
MedicaidGR0079700CA
Medicaid020A83090CA

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

Fariborz Lalezarzadeh Do 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 ID5395749915
PECOS Enrollment IDI20060912000597
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 Fariborz Lalezarzadeh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fariborz Lalezarzadeh Do Inc
Same address
Surgery
164 W HOSPITALITY LN STE 100
San Bernardino, CA 92408
  • Reassigned Medicare billing, California enrollment
NPI 1285963124 (909) 883-8834

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

Areas of Expertise CMS Part B claims 9

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.
108 services60 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
85 services85 patients
Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within t G2010
This service allows an established patient to submit recorded video or images for remote evaluation. The medical team reviews the submissions and provides interpretation, followed by a follow-up discussion with the patient within 24 hours. This service is separate from any related evaluation/management service.
84 services74 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
44 services35 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
31 services31 patients
Repair of groin hernia using an endoscope 49650
This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
18 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92408 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
$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 2

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

SURGICAL EDGE INC
Surgery
164 W HOSPITALITY LN STE 100
SAN BERNARDINO, CA 92408
San Bernardino County (909) 883-8834
FARIBORZ LALEZARZADEH DO INC
Surgery
164 W HOSPITALITY LN STE 100
SAN BERNARDINO, CA 92408
San Bernardino County (909) 883-8834

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 Fariborz Lalezarzadeh's NPI number?

The NPI number for Fariborz Lalezarzadeh is 1811004625. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is Fariborz Lalezarzadeh located?

Fariborz Lalezarzadeh practices at 164 W Hospitality Ln Ste 100, San Bernardino, CA 92408. The listed phone number is (909) 883-8834.

What is Fariborz Lalezarzadeh's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Fariborz Lalezarzadeh enrolled in Medicare?

Yes. Fariborz Lalezarzadeh 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 organization bills Medicare for Fariborz Lalezarzadeh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fariborz Lalezarzadeh reassigns Medicare benefits to Fariborz Lalezarzadeh Do Inc (San Bernardino, 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 Fariborz Lalezarzadeh'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 Fariborz Lalezarzadeh was last updated on November 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.