Fariborz Lalezarzadeh DO Inc
NPI 1285963124ActiveOrganization· Surgery· San Bernardino, CA
Surgery in San Bernardino, California, registered in NPPES in December 2009. The authorized official on file is Fariborz Lalezarzadeh, DO, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1285963124 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 23, 2009 |
| Last updated in NPPES | Nov 8, 2022 |
| Certified by provider | Nov 8, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
| Clinic/Center, Medical Specialty | 261QM2500X | 20A8309 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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