Individual provider Active NPI

Michael S. Shahbazian, M.D.

  • Interventional Pain Medicine Physician
  • Newport Beach, CA
National Provider Identifier
1417091133
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
A91591 Issued in CA
Practice address
366 San Miguel Dr Ste 210
Newport Beach, CA 92660-7810
Phone
(949) 207-9494
Fax
(949) 326-5611
NPI assigned
Feb 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X A91591 CA Primary

Addresses

Primary practice location

366 San Miguel Dr Ste 210
Newport Beach, CA 92660-7810

Mailing address

366 San Miguel Dr Ste 210
Newport Beach, CA 92660-7810
Phone (949) 207-9494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070523000714 CA Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 2769589894 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Afshin Gerayli MD a Professional CorporationGroup PAC ID 0345321634, 2 clinicians

Practice addresses (Care Compare)

35 Creek Rd
Irvine, CA 92604-4724
Phone (949) 297-3838

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A91591CAMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Shahbazian MD Inc, a Professional Corporation Pain Medicine Current Accepting new patients
Mission Hills Surgicenter, LLC PastSince Nov 9, 2025 Accepting new patients
Magella Medical Group, Inc. Past Accepting new patients
West Coast Anesthesia Inc a Medical Group Anesthesiology Past Accepting new patients
Fountain Valley Anesthesiology Medical Associates, Inc. Anesthesiology Past Accepting new patients

Locations

366 San Miguel Dr
Ste 210
Newport Beach, CA 92660
Phone (949) 630-0008

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: michael.shahbazian.d1.p44@direct.omnieyeatlanta.nextgenshare.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1417091133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 SAN MIGUEL DR STE 210",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607810",
            "telephone_number": "949-207-9494",
            "fax_number": "949-326-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 SAN MIGUEL DR STE 210",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607810",
            "telephone_number": "949-207-9494",
            "fax_number": "949-326-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHBAZIAN",
        "first_name": "MICHAEL",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "A91591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.