Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alan Shahbazi

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1184374076

Alan Shahbazi is a Family Practice in Panorama City, California. Qualified in 2022, 4 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

13640 Roscoe Blvd
Panorama City, CA 91402-3904
Phone: (833) 574-2273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1800 N California St, Stockton, CA 95204-6019 — (209) 547-7143

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 20A21865 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1184374076
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 24, 2022
Last updated in NPPESAugust 17, 2025
Certification dateAugust 17, 2025
Mailing address13640 Roscoe Blvd, Panorama City, CA 91402-3904

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Panorama City