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

Peyman Kabolizadeh

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1093941171

Peyman Kabolizadeh is a Radiation Oncology in Fountain Valley, California. Graduated from Virginia Commonwealth University, School of Medicine in 2008, 18 years ago. Practices with Memorial Radiation Oncology Medical, a 5-clinician group and accepts Medicare assignment. Licensed in California and Virginia.

Years since qualifying
18
Trained at
Virginia Commonwealth University, School of Medicine
Licensed in
CA, VA
In the registry since
2009
Specialties on file
2
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Practice location Address checks out

18111 Brookhurst St Ste LL0300
Fountain Valley, CA 92708-6728
Phone: (714) 962-7100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiation Oncology Physician (primary) Taxonomy 2085R0001X · Licence A152224 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (VA)

Record details

NPI number1093941171
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 3, 2009
Last updated in NPPESOctober 15, 2025
Certification dateOctober 15, 2025
Mailing addressPo Box 844945, Los Angeles, CA 90084-4945

Medicare enrollment

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

Medicare specialtyRADIATION ONCOLOGY
Medical schoolVIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduated 2008 (18 years in practice)
Group practice Memorial Radiation Oncology Medical — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fountain Valley