SHADI KASHEFI DELPASSAND FNP
NPI 1891497517
Nurse Practitioner - Primary Care in Garden Grove, CA

Active since March 17, 2023PECOS Enrolled
12665 GARDEN GROVE BLVD STE 601, GARDEN GROVE, CA 92843(714) 537-1387 Get Directions Write a Review

NPPES record last updated: March 17, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shadi Kashefi Delpassand Fnp NPPES

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

SHADI KASHEFI DELPASSAND FNP (NPI 1891497517) is an individual primary care provider in Garden Grove, California, licensed in California (NP95024225) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891497517
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameSHADI KASHEFI DELPASSANDCredential: FNP
Location Address12665 GARDEN GROVE BLVD STE 601Garden Grove, CA 92843-1920
Mailing Address12665 Garden Grove Blvd Ste 601Garden Grove, CA 92843-1920 · (714) 537-1387
Sole ProprietorNo
Enumeration DateMarch 17, 2023
NPPES CertifiedMarch 17, 2023
✔ NPI 1891497517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in CA · NP95024225
12665 GARDEN GROVE BLVD STE 601, Garden Grove, CA 92843

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shadi Kashefi Delpassand Fnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Shadi Delpassand reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Addiction Medicine
14591 NEWPORT AVE
Tustin, CA 92780
  • Reassigned Medicare billing, California enrollment
  • 2,052 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92843 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
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 2

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

Physician Assistant
12665 GARDEN GROVE BLVD STE 601
GARDEN GROVE, CA 92843
Obstetrics & Gynecology
12665 GARDEN GROVE BLVD STE 601
GARDEN GROVE, CA 92843

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 Shadi Delpassand's NPI number?

The NPI number for Shadi Delpassand is 1891497517. It was assigned to this individual provider in the NPPES registry on March 17, 2023.

Where is Shadi Delpassand located?

Shadi Delpassand practices at 12665 Garden Grove Blvd Ste 601, Garden Grove, CA 92843. The listed phone number is (714) 537-1387.

What is Shadi Delpassand's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Shadi Delpassand enrolled in Medicare?

Yes. Shadi Delpassand is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shadi Delpassand's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shadi Delpassand reassigns Medicare benefits to Healthcare Partners Affiliates Medical Group (Tustin, 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 Shadi Delpassand'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 Shadi Delpassand was last updated on March 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.