Bobby Dezfuli, MD is a medicare enrolled "Orthopaedic Surgery" physician in Woodland Hills, California. He went to University Of California, Davis School Of Medicine and graduated in 2009 and has 16 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Southern California Permanente Medical Group and his current practice location is
5601 De Soto Ave, Woodland Hills, California. You can reach out to his office (for appointments etc.) via phone at
(818) 719-2000.
Bobby Dezfuli is licensed to practice in California (license number A122659) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1417186610.
Physician's Profile
Full Name | Bobby Dezfuli |
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Gender | Male |
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Speciality | Orthopedic Surgery |
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Experience | 16 Years |
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Location | 5601 De Soto Ave, Woodland Hills, California |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Bobby Dezfuli attended and graduated from University Of California, Davis School Of Medicine in 2009
NPI Data:
- NPI Number: 1417186610
- Provider Enumeration Date: 07/09/2009
- Last Update Date: 11/04/2021
Medicare PECOS Information:
- PECOS PAC ID: 9032335013
- Enrollment ID: I20151111000264
Medical Identifiers
Medical identifiers for Bobby Dezfuli such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417186610 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207X00000X | Orthopaedic Surgery | TRN20259 (Florida) | Secondary |
207X00000X | Orthopaedic Surgery | R71748 (Arizona) | Secondary |
207X00000X | Orthopaedic Surgery | A122659 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Southern California Permanente Medical Group | 6002729175 | 8172 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Bobby Dezfuli allows following entities to bill medicare on his behalf.
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bobby Dezfuli is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Bobby Dezfuli, MD 5601 De Soto Ave, Woodland Hills, CA 91367-6701 Ph: (818) 719-2000 | Bobby Dezfuli, MD 5601 De Soto Ave, Woodland Hills, CA 91367-6701 Ph: (818) 719-2000 |
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