MR. SHAHAB MOSTAFANIA (PA) – Medical Physician Assistant, NPI 1780643528
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,564 PHYSICIAN ASSISTANT in CA
Provider Addresses for MR. SHAHAB MOSTAFANIA (PA)
212 Coffee Rd Ste 100
Bakersfield, CA 933091273
Phone: (661) 885-6060
Type: Location
2005 W ALAMEDA AVE
BURBANK, CA 915062932
Phone: (818) 736-9977
Type: Location
26605, Thackery Lane, Stevenson Ranch, Los Angeles County, California, 91381, United States
STEVENSON RANCH, CA 913811470
Phone: (661) 857-0177
Type: Mailing
45074, 10th Street West, Lancaster, Los Angeles County, California, 93534, United States
SUITE 109
LANCASTER, CA 935342371
Phone: (661) 942-2391
Fax: (661) 427-0313
Type: Location
401 W LOS FELIZ RD
GLENDALE, CA 912042769
Phone: (818) 296-0201
Type: Mailing
401 W LOS FELIZ RD STE E
GLENDALE, CA 912042769
Phone: (818) 296-0201
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $15.
Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.
Last reported payment date: 2023-04-25 • Largest payer in this snapshot: PFIZER INC. ($15).
Total Amount
$15
General + Research + Ownership
Payments
1
Total payment records
General Amount
$15
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $15 |
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: 2010-08-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100825000389 | I | Physician Assistant | CA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 380 | 92 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 209 | 194 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 139 | 120 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 90 | 90 | $0 |
| 81003 | Automated urinalysis test | 78 | 75 | $0 |
Insurance plans in this area (ZIP 93309)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| Physician Assistant | CA | |
| - | CA | |
| Physician Assistant | CA | |
| Physician Assistant | CA | |
| Physician Assistant | CA |
Reviews
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