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

Shabnam Mortazavi, MD, MPH

Individual provider Diagnostic Radiology Physician · NPI 1295154847

Shabnam Mortazavi, MD, MPH is a Diagnostic Radiology in Los Angeles, California. Qualified in 2011, 15 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
15
Licensed in
CA
In the registry since
2014
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MPH — Master of Public Health
A graduate degree in population health.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

757 Westwood Plz Ste 1638
Los Angeles, CA 90095-8358
Phone: (310) 267-8796
Fax: (310) 267-2059
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1245 16th St Ste 105, Santa Monica, CA 90404-1239 — (310) 301-6800

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence A161296 (CA)

Record details

NPI number1295154847
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD , MPH
Sole proprietorNo
NPI enumeratedApril 10, 2014
Last updated in NPPESJanuary 13, 2023

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Los Angeles