Individual provider Active NPI

Kambiz Shetabi, M.D.

  • Interventional Cardiology Physician
  • Chula Vista, CA
National Provider Identifier
1972827806
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
A126187 Issued in CA
Practice address
750 Medical Center CT Ste 10
Chula Vista, CA 91911-6634
Phone
(619) 482-0300
Fax
(858) 682-2202
NPI assigned
Mar 22, 2010
Last updated
Jul 31, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A126187 CA
Cardiovascular Disease Physician 207RC0000X 56405 WI
Cardiovascular Disease Physician 207RC0000X R8102 TX
Interventional Cardiology Physician 207RI0011X A126187 CA Primary

Addresses

Primary practice location

750 Medical Center CT Ste 10
Chula Vista, CA 91911-6634

Mailing address

3131 Berger Ave Ste 200
San Diego, CA 92123-4203
Phone (858) 244-6800

Other identifiers 2

IdentifierTypeStateIssuer
R8102OtherTXTEXAS MEDICAL BOARD
A126187OtherCACA MEDICAL BOARD

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191115002962 CA Practitioner - Interventional Cardiology 3678708047 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Emergency and Acute Care Medical CorporationGroup PAC ID 9537108279, 431 clinicians
San Diego Cardiac Center Medical Group Inc.Group PAC ID 8628045986, 21 clinicians

Practice addresses (Care Compare)

751 Med Ctr CT
Chula Vista, CA 91911-6617
Phone (619) 502-5800

890 Eastlake Pkwy
Suite 205
Chula Vista, CA 91914-4521
Phone (858) 244-6800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A126187CAMDCardiovascular Disease Physician
56405WIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology and Vascular Clinic of San Diego, AMC Cardiovascular Disease CurrentSince Aug 10, 2022 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Nov 23, 2019 Accepting new patients
San Diego Cardiac Center Medical Group Inc Cardiovascular Disease CurrentSince Jan 1, 2025 Accepting new patients
Northwest Houston Heart Center, P.a. Cardiovascular Disease Past Accepting new patients
Zavaro Cardiovascular Institute, AMC Cardiovascular Disease PastSince Jun 23, 2004 Accepting new patients

Locations

591 Telegraph Canyon Rd
Chula Vista, CA 91910
Phone (209) 558-4420

750 Medical Center Ct
Ste 10
Chula Vista, CA 91911
Phone (619) 421-5711

751 Medical Center Ct
Chula Vista, CA 91911
Phone (619) 482-3639

754 Medical Center Ct
Ste 101
Chula Vista, CA 91911
Phone (619) 421-3313

890 Eastlake Pkwy
Ste 205
Chula Vista, CA 91914
Phone (619) 216-0400

300 S Pierce St
Ste 102
El Cajon, CA 92020
Phone (619) 668-4700

1415 E 8th St
Ste 7
National City, CA 91950

502 Euclid Ave
Ste 104
National City, CA 91950
Phone (619) 244-1506

3131 Berger Ave
Ste 200
San Diego, CA 92123
Phone (858) 244-6800

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHBEAA

Organizations & group practices 5

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

Hospital & facility affiliations 4

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": "1269216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1972827806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 BERGER AVE STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234203",
            "telephone_number": "858-244-6800",
            "fax_number": "858-244-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 MEDICAL CENTER CT STE 10",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919116634",
            "telephone_number": "619-482-0300",
            "fax_number": "858-682-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHETABI",
        "first_name": "KAMBIZ",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-22",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A126187",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WI",
            "license": "56405",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "R8102",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A126187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD",
            "identifier": "R8102",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA MEDICAL BOARD",
            "identifier": "A126187",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.