Shabnam Mortazavi, MD, MPH in Los Angeles, CA - Medicare Diagnostic Radiology

Shabnam Mortazavi, MD, MPH is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Los Angeles, California. She graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Southern California Permanente Medical Group and her current practice location is 757 Westwood Plz Ste 1638, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (310) 267-8796.

Shabnam Mortazavi is licensed to practice in California (license number A161296) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1295154847.

Contact Information

	Shabnam Mortazavi, MD, MPH
	757 Westwood Plz Ste 1638, Los Angeles, CA 90095-8358
	(310) 267-8796
	(310) 267-2059

Map and Direction

Physician's Profile

Full Name	Shabnam Mortazavi
Gender	Female
Speciality	Diagnostic Radiology
Experience	13 Years
Location	757 Westwood Plz Ste 1638, Los Angeles, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Shabnam Mortazavi graduated from medical school in 2011

NPI Data:

NPI Number: 1295154847
Provider Enumeration Date: 04/10/2014
Last Update Date: 01/13/2023

Medicare PECOS Information:

PECOS PAC ID: 5496050536
Enrollment ID: I20190612000269

Medical Identifiers

Medical identifiers for Shabnam Mortazavi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295154847	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	A161296 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kaiser Foundation Hospital - Panorama City	Panorama city, CA	Hospital

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. Shabnam Mortazavi allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

Entity Name	County Of Los Angeles
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851363188 PECOS PAC ID: 1850296534 Enrollment ID: O20031204001218

Entity Name	Martin Luther King Jr Community Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356899777 PECOS PAC ID: 8628359502 Enrollment ID: O20170109001311

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. Shabnam Mortazavi 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
Shabnam Mortazavi, MD, MPH 5767 W Century Blvd Suite 400, Los Angeles, CA 90095-5631 Ph: (310) 301-8707	Shabnam Mortazavi, MD, MPH 757 Westwood Plz Ste 1638, Los Angeles, CA 90095-8358 Ph: (310) 267-8796

Reviews and Comments

Radiology Doctors in Los Angeles, CA

Doron Ben Avi, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1516 Cotner Ave, Los Angeles, CA 90025 Phone: 310-445-2951 Fax: 310-479-1459
Hsin Y Lee, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 10833 Le Conte Ave, Los Angeles, CA 90095 Phone: 310-825-4721
Colin J. Wells, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 10833 Le Conte Ave, Los Angeles, CA 90095 Phone: 310-301-6800
Eric Allan White, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1500 San Pablo St Fl 2, Los Angeles, CA 90033 Phone: 323-442-8541 Fax: 323-442-8755
Dr. Lloyd Edward Greaser Iii, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 10833 Le Conte Ave, Department Of Radiology, Los Angeles, CA 90095 Phone: 310-825-4321
Dr. Hanako Yamauchi Farol, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4950 W Sunset Blvd, Los Angeles, CA 90027 Phone: 323-783-7571
Siamak Dardashti, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1516 Cotner Ave, Los Angeles, CA 90025 Phone: 310-445-2951 Fax: 310-479-1459

Shabnam Mortazavi, MD, MPH - Medicare Diagnostic Radiology in Los Angeles, CA