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

Fariborz Lalezarzadeh, DO

Individual provider Surgery Physician · NPI 1811004625

Fariborz Lalezarzadeh, DO is a General Surgery in San Bernardino, California. Qualified in 2001, 25 years ago. Accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
25
Licensed in
CA
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

164 W Hospitality Ln Ste 100
San Bernardino, CA 92408-3316
Phone: (909) 883-8834
Fax: (909) 644-4021
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence A8309 (CA)

Record details

NPI number1811004625
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedAugust 25, 2006
Last updated in NPPESNovember 8, 2022
Certification dateNovember 8, 2022
Mailing address700 E Redlands Blvd Ste U506, Redlands, CA 92373-6109

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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