Individual provider Active NPI

Bobby Pourziaee, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Beverly Hills, CA
National Provider Identifier
1922057173
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4339 Issued in CA
Practice address
415 N Crescent Dr Ste 340
Beverly Hills, CA 90210-4884
Phone
(310) 441-0088
Fax
(310) 388-5809
NPI assigned
May 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 0405 NV
Foot & Ankle Surgery Podiatrist 213ES0103X E4339 CA Primary

Addresses

Primary practice location

415 N Crescent Dr Ste 340
Beverly Hills, CA 90210-4884

Mailing address

415 N Crescent Dr Ste 340
Beverly Hills, CA 90210-4884
Phone (310) 770-1492

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040628000676 CA Practitioner - Podiatry 8224014550 Reassigns benefits to 1 organization
I20051021000284 NV Practitioner - Podiatry 8224014550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bobby Pourziaee D P M IncGroup PAC ID 0143246124, 6 clinicians

Practice addresses (Care Compare)

2080 E Calvada Blvd
Pahrump, NV 89048-6576
Phone (775) 751-5200

415 N Crescent Dr
Suite 340
Beverly Hills, CA 90210-4884

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal35
Melanoma (skin cancer) excision25
Removal of tissue2633
Removal of nail tissue11E3
Removal or shaving of skin growth2533
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
0405NVMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bobby Pourziaee, D P M Inc Foot & Ankle Surgery CurrentSince Jun 1, 2002 Accepting new patients
Bridget S Tester DPM Inc Past Accepting new patients
Southern Inyo Healthcare District Past Accepting new patients
Beach Foot and Ankle Center Inc Foot & Ankle Surgery PastSince Jan 1, 2021 Accepting new patients
Western Foot & Ankle Center Inc Foot & Ankle Surgery PastSince Jan 1, 1996 Accepting new patients
Desert View Regional Medical Center Holdings, LLC Past Accepting new patients

Locations

421 N Rodeo Dr
Ste G12
Beverly Hills, CA 90210
Phone (310) 362-1890

421 N Rodeo Dr
#G12
Beverly Hills, CA 90210
Phone (310) 441-0088

415 N Crescent Dr
Ste 340
Beverly Hills, CA 90210
Phone (310) 362-1890

536 W Line St
#A
Bishop, CA 93514
Phone (760) 793-0071

6230 Wilshire Blvd
Ste 145
Los Angeles, CA 90048

707 E Tahquitz Canyon Way
Ste G9
Palm Springs, CA 92262
Phone (760) 507-4000

707 E Tahquitz Canyon Way
#G9
Palm Springs, CA 92262

231 E Tahquitz Canyon Way
Palm Springs, CA 92262
Phone (760) 507-4000

10550 Park Run Dr
Las Vegas, NV 89144
Phone (702) 515-6200

2080 E Calvada Blvd
Pahrump, NV 89048
Phone (775) 727-7959

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16311/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1922057173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N CRESCENT DR STE 340",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104884",
            "telephone_number": "310-770-1492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N CRESCENT DR STE 340",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104884",
            "telephone_number": "310-441-0088",
            "fax_number": "310-388-5809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POURZIAEE",
        "first_name": "BOBBY",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NV",
            "license": "0405",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.