DR. NASIM FAZEL (MD, DDS) – Dermatology Physician, NPI 1376592105

DR. NASIM FAZEL (MD, DDS) is a healthcare provider. based in Monterey, California. specializing in DERMATOLOGY. They hold the professional credentials MD, DDS. They hold a License No. A83700 (CA). The NPI Number for DR. NASIM FAZEL (MD, DDS) is 1376592105

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. NASIM FAZEL (MD, DDS)
NPI
1376592105
Phone
(831) 333-9008
Address
9781 Blue Larkspur Ln
Enumeration Date
9 May 2006
Last Update Date
6 September 2022

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
9496440101
Graduation Year
1999 (27 years ago)
PAC ID
5698678191
Group Practice PAC ID
8729990973
Professional Enrollment ID
I20040130001103
Address ID
CA926607669NE400XXDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,140 DERMATOLOGY in CA

Provider Addresses for DR. NASIM FAZEL (MD, DDS)

  • 9781 Blue Larkspur Ln

    Monterey, CA 939406509

    Phone: (831) 333-9008

    Fax: (831) 333-9010

    Type: Location

  • C Street, Elvas, Sacramento, Sacramento County, California, 95816, United States

    STE. 1300

    SACRAMENTO, CA 958163300

    Phone: (916) 734-6876

    Fax: (916) 442-5702

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 59 Open Payments records for all available years, with a total value of $1,452.

Total Amount is formed as General ($1,452) + Research ($0) + Ownership ($0) = $1,452.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: ABBVIE INC. ($337).

Total Amount

$1,452

General + Research + Ownership

Payments

59

Total payment records

General Amount

$1,452

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-01-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040130001103IDermatologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths1,896301$0
99213Established patient office or other outpatient visit, 20-29 minutes512386$0
17000Destruction of precancer skin growth, 1 growth489384$0
99214Established patient office or other outpatient visit, 30-39 minutes287194$0
11102Biopsy of related skin growth, first growth205183$0
View full utilization report →

Insurance plans in this area (ZIP 93940)

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Provider's Procedures

DR. NASIM FAZEL (MD, DDS) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYCA17003Destruction of 2-14 skin growths702143

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729990973View full group profile
NameSpecialtyState
D E R M A T O L O G YCA
D E R M A T O L O G YCA
Nurse PractitionerNV
-CA
-CA
-NV
D E R M A T O L O G YNV
Dermatology, Micrographic Dermatologic Surgery (Mds), PathologyTX
D E R M A T O L O G YNV
Physician AssistantNV

Reviews

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Frequently asked questions

What is the registry number for DR. NASIM FAZEL (MD, DDS)?
The registry entry for DR. NASIM FAZEL (MD, DDS) shows NPI 1376592105.
Is DR. NASIM FAZEL (MD, DDS) currently accepting referrals based on NPI status?
Registry metadata lists DR. NASIM FAZEL (MD, DDS) as active.
Which specialty label fits DR. NASIM FAZEL (MD, DDS)?
NPPES ties DR. NASIM FAZEL (MD, DDS) to Dermatology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. NASIM FAZEL (MD, DDS)?
DR. NASIM FAZEL (MD, DDS) is associated with Monterey, California in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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