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KHASHAYAR MOHEBALI MD A MEDICAL CORPORATION
NPI 1881030484
Plastic Surgery in Corte Madera, CA

Active since May 22, 2013
21 TAMAL VISTA BLVD, SUITE 103, CORTE MADERA, CA 94925(415) 927-7660(415) 927-7663 Get Directions Write a Review

NPPES record last updated: May 22, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Khashayar Mohebali Md A Medical Corporation NPPES

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

KHASHAYAR MOHEBALI MD A MEDICAL CORPORATION (NPI 1881030484) is a healthcare organization registered as a plastic surgery in Corte Madera, California and active in the NPI registry since May 2013. The organization lists Khashayar Mohebali, President, as its authorized official.

NPPES Registry Identity

NPI1881030484
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameKHASHAYAR MOHEBALI MD A MEDICAL CORPORATION
Location Address21 TAMAL VISTA BLVD, SUITE 103Corte Madera, CA 94925-1130
Mailing Address548 Columbia Creek DrSan Ramon, CA 94582-5611 · (925) 556-4336 · Fax (925) 556-9270
Phone(415) 927-7660
Fax(415) 927-7663
Organization SubpartNo
Authorized OfficialKhashayar MohebaliPresident · (415) 412-4921
Enumeration DateMay 22, 2013
✔ NPI 1881030484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in CA · A94434
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
21 TAMAL VISTA BLVD, Corte Madera, CA 94925
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Khashayar Mohebali Md A Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Khashayar Mohebali MD A Medical Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Khashayar Mohebali, MD
Plastic and Reconstructive Surgery
NPI 1437331360
UCSF DEPARTMENT OF SURGERY 513 PARNASSUS AVE, ROOM S321
San Francisco, CA 94143
(415) 476-1239
✔ PECOS✔ Accepts Medicare12 mi

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

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 Mohebali MD A Medical Corporation's NPI number?

The NPI number for Khashayar Mohebali MD A Medical Corporation is 1881030484. It was assigned to this organization in the NPPES registry on May 22, 2013.

Where is Khashayar Mohebali MD A Medical Corporation located?

Khashayar Mohebali MD A Medical Corporation is located at 21 Tamal Vista Blvd Suite 103, Corte Madera, CA 94925. The listed phone number is (415) 927-7660.

What is Khashayar Mohebali MD A Medical Corporation's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Khashayar Mohebali MD A Medical Corporation enrolled in Medicare?

Yes. Khashayar Mohebali MD A Medical Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Khashayar Mohebali MD A Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Khashayar Mohebali MD A Medical Corporation. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Khashayar Mohebali MD A Medical Corporation was last updated on May 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.