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

Shadi Pezeshki

Individual provider Internal Medicine Physician · NPI 1922284975

Shadi Pezeshki is an Internal Medicine in LA Jolla, California. Qualified in 1996, 30 years ago. Practices with Medstar Medical Group II LLC, a 3,717-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and Maryland.

Years since qualifying
30
Licensed in
CA, MD
In the registry since
2008
Specialties on file
2
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Practice location Address checks out

9850 Genesee Ave Ste 320
LA Jolla, CA 92037-1208
Phone: (858) 554-1212
Fax: (858) 795-1195
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence C174931 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence DOO66815 (MD)

Record details

NPI number1922284975
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 20, 2008
Last updated in NPPESOctober 27, 2021
Certification dateOctober 27, 2021
Mailing address9850 Genesee Ave Ste 320, La Jolla, CA 92037-1208

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Medstar Medical Group Ii Llc — 3717 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

Other providers in LA Jolla