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PAYAM SHABANZADEH M.D
NPI 1912975350
Internal Medicine in Los Angeles, CA

Active since March 10, 2006PECOS Enrolled
1401 S GRAND AVE, LOS ANGELES, CA 90015(818) 838-4587 Get Directions Write a Review

NPPES record last updated: January 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Payam Shabanzadeh M.d NPPES

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

PAYAM SHABANZADEH M.D (NPI 1912975350) is an individual internal medicine provider in Los Angeles, California, licensed in California (A93221) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1912975350
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePAYAM SHABANZADEHCredential: M.D
Location Address1401 S GRAND AVELos Angeles, CA 90015-3010
Mailing AddressPo Box 35380Las Vegas, NV 89133-5380 · (702) 579-3203
Phone(818) 838-4587
Sole ProprietorNo
Enumeration DateMarch 10, 2006
Last NPPES UpdateJanuary 9, 2026
NPPES CertifiedJanuary 9, 2026
✔ NPI 1912975350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A93221
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1401 S GRAND AVE, Los Angeles, CA 90015
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Other Names 1

Other Name (5)Payam Shabanzadeh M.d

Secondary Practice Location 1

Location 11025 W Olympic Blvd, (Healthcare Partners)Los Angeles, CA 90015 · Phone (213) 623-2225 · Fax (231) 861-5863

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Payam Shabanzadeh M.d 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 Payam Shabanzadeh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Healthcare Partners Affiliates Medical Group
0.9 mi
Internal Medicine
1120 W WASHINGTON BLVD
Los Angeles, CA 90015
  • Reassigned Medicare billing, California enrollment
  • 2,052 clinicians in this Medicare group
NPI 1659312593 (213) 623-2225

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 90015 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
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 20

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

TATIANA MARIA VAZQUEZ DE LOS SANTOS
Student in an Organized Health Care Education/Training Program
1401 S GRAND AVE
LOS ANGELES, CA 90015
Los Angeles County (213) 743-7300
BRANDON LEE
Nurse Anesthetist, Certified Registered
1401 S GRAND AVE
LOS ANGELES, CA 90015
Los Angeles County (213) 748-2411
SARA GAYANE HAROUTUNIAN
Student in an Organized Health Care Education/Training Program
1401 S GRAND AVE
LOS ANGELES, CA 90015
Los Angeles County (213) 743-7300
JAMIE SON
Physician Assistant
1401 S GRAND AVE
LOS ANGELES, CA 90015
Los Angeles County (213) 748-2411
DR. PATRICK LENEHAN M.D.
Emergency Medicine
1401 S GRAND AVE
LOS ANGELES, CA 90015
Los Angeles County (213) 748-2411
DR. CHRISTINE CHUNG M.D.
Anesthesiology
1401 S GRAND AVE
LOS ANGELES, CA 90015
Los Angeles County (818) 391-8500
DR. ONUR YENIGUN MD
Emergency Medicine
1401 S GRAND AVE
LOS ANGELES, CA 90015
Los Angeles County (213) 748-2411
MIRIAM NWOBIARA IFEGWU
Student in an Organized Health Care Education/Training Program
1401 S GRAND AVE
LOS ANGELES, CA 90015
Los Angeles County (213) 743-7300

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 Payam Shabanzadeh's NPI number?

The NPI number for Payam Shabanzadeh is 1912975350. It was assigned to this individual provider in the NPPES registry on March 10, 2006. The provider is also known as Payam Shabanzadeh M.D.

Where is Payam Shabanzadeh located?

Payam Shabanzadeh practices at 1401 S Grand Ave, Los Angeles, CA 90015. The listed phone number is (818) 838-4587.

What is Payam Shabanzadeh's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Payam Shabanzadeh enrolled in Medicare?

Yes. Payam Shabanzadeh is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Payam Shabanzadeh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Payam Shabanzadeh reassigns Medicare benefits to Healthcare Partners Affiliates Medical Group (Los Angeles, 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 Payam Shabanzadeh'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 Payam Shabanzadeh was last updated on January 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.