TINA SHAHIDYAZDANI MD
NPI 1891924858
Pediatrics in San Ysidro, CA

Q: What is Tina Shahidyazdani's NPI number?

The NPI number for Tina Shahidyazdani is 1891924858. It was assigned to this individual provider in the NPPES registry on July 10, 2009.

Q: What is Tina Shahidyazdani's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since July 10, 2009PECOS Enrolled

4004 BEYER BLVD, SAN YSIDRO, CA 92173(619) 662-4100(619) 428-7952 Get Directions Write a Review

NPPES record last updated: July 10, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Tina Shahidyazdani Md NPPES

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

TINA SHAHIDYAZDANI MD (NPI 1891924858) is an individual pediatrics provider in San Ysidro, California, licensed in California (A94813) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891924858

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameTINA SHAHIDYAZDANICredential: MD

Location Address4004 BEYER BLVDSan Ysidro, CA 92173-2007

Mailing Address4004 Beyer BlvdSan Ysidro, CA 92173-2007 · (619) 662-4100 · Fax (619) 428-7952

Phone(619) 662-4100

Fax(619) 428-7952

Sole ProprietorNo

Enumeration DateJuly 10, 2009

✔ NPI 1891924858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A94813

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

4004 BEYER BLVD, San Ysidro, CA 92173

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tina Shahidyazdani Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92173 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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.

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Other Providers at the Same Location NPPES 20

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

CENTRO DE SALUD DE LA COMMUNIDAD DE SAN YSIDRO, INC

Clinic/Center (Rural Health)