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

Dr. Kambiz Etesami, MD

Individual provider Surgery Physician · NPI 1629374020

Dr. Kambiz Etesami, MD is a General Surgery in Los Angeles, California. Qualified in 2009, 17 years ago. Practices with Childrens Hospital Los Angeles Medical Group Inc, a 288-clinician group and accepts Medicare assignment. Licensed in California and Missouri.

Years since qualifying
17
Licensed in
CA, MO
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1516 San Pablo St Fl 2
Los Angeles, CA 90033-5313
Phone: (323) 442-5908
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Transplant Surgery Physician (primary) Taxonomy 204F00000X · Licence A150383 (CA)
Surgery Physician Taxonomy 208600000X · Licence 2016025186 (MO)

Record details

NPI number1629374020
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 2, 2011
Last updated in NPPESNovember 27, 2023
Certification dateSeptember 25, 2020

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Childrens Hospital Los Angeles Medical Group Inc — 288 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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