DR. SHIVA LALEZARZADEH D.O.
NPI 1912079542
Family Medicine in Los Angeles, CA
About Dr. Shiva Lalezarzadeh D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHIVA LALEZARZADEH D.O. (NPI 1912079542) is an individual family medicine provider in Los Angeles, California, licensed in California (20A8026) and active in the NPI registry since November 2006. She has opted out of Medicare through February 1, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Shiva Lalezarzadeh D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 1, 2019 through February 1, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90025 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LOS ANGELES, CA 90025
LOS ANGELES, CA 90025
LOS ANGELES, CA 90025
LOS ANGELES, CA 90025
LOS ANGELES, CA 90025
LOS ANGELES, CA 90025
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 Shiva Lalezarzadeh's NPI number?
The NPI number for Shiva Lalezarzadeh is 1912079542. It was assigned to this individual provider in the NPPES registry on November 15, 2006.
Where is Shiva Lalezarzadeh located?
Shiva Lalezarzadeh practices at 11600 Wilshire Blvd Suite 120, Los Angeles, CA 90025. The listed phone number is (847) 770-6083.
What is Shiva Lalezarzadeh's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Shiva Lalezarzadeh enrolled in Medicare?
No. Shiva Lalezarzadeh has opted out of Medicare through February 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Shiva Lalezarzadeh was last updated on March 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Dr. Shiva Lalezarzadeh, D.O. · NPI 1912079542
Family Medicine physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since November 15, 2006.
## Identity
- **NPI:** 1912079542 (Entity type: Individual)
- **Enumerated:** November 15, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 20A8026 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 11600 WILSHIRE BLVD, SUITE 120, Los Angeles, CA 90025-5781
- **Phone:** (847) 770-6083 · **Fax:** (888) 246-1403
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through February 1, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** March 5, 2015
- **Other identifiers:** Medicare UPIN H34515 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1912079542) · Data from the CMS NPPES public registry.