Dr Kambiz Etesami, MD - Medicare General Surgery in Los Angeles, CA

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Dr Kambiz Etesami, MD is a medicare enrolled "Transplant Surgery" physician in Los Angeles, California. He graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Usc Care Medical Group Inc and his current practice location is 1516 San Pablo St Fl 2, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (323) 442-5908.

Dr Kambiz Etesami is licensed to practice in California (license number A150383) 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 1629374020.

Contact Information

Dr Kambiz Etesami, MD
1516 San Pablo St Fl 2,
Los Angeles, CA 90033-5313
(323) 442-5908
Not Available

Map and Direction




Physician's Profile

Full NameDr Kambiz Etesami
GenderMale
SpecialityGeneral Surgery
Experience15 Years
Location1516 San Pablo St Fl 2, Los Angeles, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kambiz Etesami graduated from medical school in 2009
  NPI Data:
  • NPI Number: 1629374020
  • Provider Enumeration Date: 02/02/2011
  • Last Update Date: 11/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3577850791
  • Enrollment ID: I20170808001092

Medical Identifiers

Medical identifiers for Dr Kambiz Etesami such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629374020NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 2016025186 (Missouri)Secondary
204F00000XTransplant Surgery A150383 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Keck Hospital Of UscLos angeles, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Usc Care Medical Group Inc04461577471142

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. Dr Kambiz Etesami allows following entities to bill medicare on his behalf.
Entity NameChildrens Hospital Los Angeles Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265530653
PECOS PAC ID: 0143126920
Enrollment ID: O20031211000522
Entity NameUsc Care Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902846306
PECOS PAC ID: 0446157747
Enrollment ID: O20050512000412

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. Dr Kambiz Etesami 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 AddressPractice Location Address
Dr Kambiz Etesami, MD
Po Box 31309,
Los Angeles, CA 90031-0309

Ph: (323) 442-5908		Dr Kambiz Etesami, MD
1516 San Pablo St Fl 2,
Los Angeles, CA 90033-5313

Ph: (323) 442-5908

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.