Shazeb Ali Rizvi, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E5907 Issued in CA

Practice address

1762 N Waterman Ave Ste B
San Bernardino, CA 92404-5130

Phone

(909) 886-3668

NPI assigned

May 4, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Western Un of HLTH Sciences, Col of Podiatric Med, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pacific Coast Podiatry PCGroup PAC ID 6204122997, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Pacific Coast Podiatry PC

  • Preferred Provider Organization
  • San Bernardino, CA
  • NPI 1285080978
  Medicare reassignment Care Compare group
• Memorialcare Medical Foundation

  • Clinic/Center
  • Fountain Valley, CA
  • NPI 1205167350

  Podiatrist

  NPD (past)

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

{
    "created_epoch": "1588550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1760003453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1762 N WATERMAN AVE STE B",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924045130",
            "telephone_number": "909-886-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1762 N WATERMAN AVE STE B",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924045130",
            "telephone_number": "909-886-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZVI",
        "first_name": "SHAZEB",
        "middle_name": "ALI",
        "name_prefix": "Mr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-04",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E5907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riverdale Hospice and Palliative Care, Inc.
• Ciara Rivers
• Riverside Radiology Medical Group, Inc.
• Lucas Rizkalla, MD
• Maryam Rizvi
• RM Trusted Transportation
• Judy Lynn Roach
• Gary Robbins, M.S.
• Autumn Roberson
• Robert Devore, Jr., M.D., Inc

• Podiatrist in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.