1. Home
  2. Directory
  3. California
  4. Fullerton
  5. Physician Assistant
  6. NPI Profile

SHABNAM SHAHRIYARI
NPI 1871258020
Physician Assistant in Fullerton, CA

Active since November 02, 2021PECOS EnrolledAccepts Medicare Assignment
140 E COMMONWEALTH AVE STE 101, FULLERTON, CA 92832(714) 773-4111 Get Directions Write a Review

NPPES record last updated: January 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 11, 2023, Mar 25, 2023, Nov 2, 2021 (3 updates tracked since 2021).

About Shabnam Shahriyari NPPES

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

SHABNAM SHAHRIYARI (NPI 1871258020) is an individual physician assistant in Fullerton, California, licensed in California (62095) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1871258020
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHABNAM SHAHRIYARI
Location Address140 E COMMONWEALTH AVE STE 101Fullerton, CA 92832-1905
Mailing Address23912 Copenhagen StMission Viejo, CA 92691-3022 · (714) 430-0107
Phone(714) 773-4111
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 2, 2021
Last NPPES UpdateJanuary 26, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2024
✔ NPI 1871258020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 62095
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
140 E COMMONWEALTH AVE STE 101, Fullerton, CA 92832
Open in Google Maps ↗

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

Shabnam Shahriyari 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 ID2163894460
PECOS Enrollment IDI20230215001059
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 92832 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 3

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

MR. GRANT DAVID CLARKE LCSW
Social Worker (Clinical)
140 E COMMONWEALTH AVE STE 101
FULLERTON, CA 92832
Orange County (714) 773-4111
DR. PAROOL B PATEL MD
Psychiatry & Neurology (Psychiatry)
140 E COMMONWEALTH AVE STE 101
FULLERTON, CA 92832
Orange County (714) 773-4111
MRS. MEGAN JIMENEZ LMFT
Marriage & Family Therapist
140 E COMMONWEALTH AVE STE 101
FULLERTON, CA 92832
Orange County (714) 773-4111

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 Shabnam Shahriyari's NPI number?

The NPI number for Shabnam Shahriyari is 1871258020. It was assigned to this individual provider in the NPPES registry on November 2, 2021.

Where is Shabnam Shahriyari located?

Shabnam Shahriyari practices at 140 E Commonwealth Ave Ste 101, Fullerton, CA 92832. The listed phone number is (714) 773-4111.

What is Shabnam Shahriyari's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Shabnam Shahriyari enrolled in Medicare?

Yes. Shabnam Shahriyari 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.

When was this NPI record last updated?

The NPPES record for Shabnam Shahriyari was last updated on January 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.