DR. EDWARD RUSTAMZADEH (M.D.) – Neurological Surgery Physician, NPI 1861453318
Neurological Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
795 NEUROSURGERY in CA
Provider Addresses for DR. EDWARD RUSTAMZADEH (M.D.)
11190 Warner Ave
Suite 306
Fountain Valley, CA 927084019
Phone: (612) 845-4695
Type: Location
393 BLOSSOM HILL RD STE 295
SAN JOSE, CA 951231654
Phone: (408) 540-6861
Fax: (408) 540-6865
Type: Location
800, Pollard Road, Santina Community, Vasona Junction, Los Gatos, Santa Clara County, California, 95032, United States
BUILDING A
LOS GATOS, CA 950321415
Phone: (408) 540-6861
Fax: (408) 540-6865
Type: Mailing
Fountain Valley Regional Cancer Center, 11190, Warner Avenue, Fountain Valley, Orange County, California, 92708, United States
SUITE 306
FOUNTAIN VALLEY, CA 927084019
Phone: (612) 845-4695
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 32 Open Payments records for all available years, with a total value of $4,682.
Total Amount is formed as General ($4,682) + Research ($0) + Ownership ($0) = $4,682.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Providence Medical Technology, Inc. ($1,504).
Total Amount
$4,682
General + Research + Ownership
Payments
32
Total payment records
General Amount
$4,682
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Providence Medical Technology, Inc. | $1,504 |
| Medtronic, Inc. | $1,392 |
| SI-BONE, INC. | $691 |
| Bioventus LLC | $487 |
| NuVasive, Inc. | $149 |
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: 2006-08-14
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 |
|---|---|---|---|---|
| I20060814000589 | I | Neurosurgery | 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 |
|---|---|---|---|---|
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 145 | 145 | $0 |
| 22614 | Fusion of additional segment of spine | 100 | 29 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 69 | 59 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 57 | 49 | $0 |
| 76000 | Imaging guidance for procedure, 60 minutes or less | 46 | 43 | $0 |
Insurance plans in this area (ZIP 92708)
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