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

Dr. Samira Mortazavi, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1528647799

Dr. Samira Mortazavi, MD is a Pathology in Los Angeles, California. Qualified in 2006, 20 years ago. Practices with UCLA Pathology and Laboratory Medicine Group, a 68-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
20
Licensed in
CA
In the registry since
2021
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

10833 Le Conte Ave
Los Angeles, CA 90095-1804
Phone: (310) 206-0944
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8700 Beverly Blvd, West Hollywood, CA 90048-1804 — (310) 423-6941

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence A197924 (CA)

Record details

NPI number1528647799
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 5, 2021
Last updated in NPPESJuly 8, 2025
Certification dateJuly 8, 2025

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Ucla Pathology And Laboratory Medicine Group — 68 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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