Active NPI
Kambiz Shetabi, M.D.
- Interventional Cardiology Physician
- Chula Vista, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- A126187
- 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, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R8102 | Other | TX | TEXAS MEDICAL BOARD |
| A126187 | Other | CA | CA 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
Enrollment records 1
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
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
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A126187 | CA | MD | Cardiovascular Disease Physician |
| 56405 | WI | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiology and Vascular Clinic of San Diego, AMC | Cardiovascular Disease | Current | Accepting new patients |
| Emergency and Acute Care Medical Corporation | Current | Accepting new patients | |
| San Diego Cardiac Center Medical Group Inc | Cardiovascular Disease | Current | Accepting new patients |
| Northwest Houston Heart Center, P.a. | Cardiovascular Disease | Past | Accepting new patients |
| Zavaro Cardiovascular Institute, AMC | Cardiovascular Disease | Past | 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
- 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.
-
- Interventional Cardiology Physician
- National City, CA
- NPI 1265160949
Cardiovascular Disease
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1437103942
-
- Cardiovascular Disease Physician
- San Diego, CA
- NPI 1801980446
-
- Cardiovascular Disease Physician
- El Cajon, CA
- NPI 1780716415
-
- Cardiovascular Disease Physician
- Magnolia, TX
- NPI 1093032070
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sharp Grossmont Hospital
- General Acute Care Hospital
- La Mesa, CA
- NPI 1528041811
-
- General Acute Care Hospital
- Chula Vista, CA
- NPI 1396728630
-
dba Sharp Allison deRose Rehabilitation Center
- Rehabilitation Hospital Unit
- San Diego, CA
- NPI 1114901352
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1407839921
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; 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.