Tina Shahidyazdani, MD in San Ysidro, CA

Tina Shahidyazdani, MD is a medicare enrolled "Pediatrics" physician in San Ysidro, California. Her current practice location is 4004 Beyer Blvd, San Ysidro, California. You can reach out to her office (for appointments etc.) via phone at (619) 662-4100.

Tina Shahidyazdani is licensed to practice in California (license number A94813) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1891924858.

Contact Information

	Tina Shahidyazdani, MD
	4004 Beyer Blvd, San Ysidro, CA 92173-2007
	(619) 662-4100
	(619) 428-7952

Map and Direction

Physician's Profile

Full Name	Tina Shahidyazdani
Gender	Female
Speciality	Pediatrics
Location	4004 Beyer Blvd, San Ysidro, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891924858
Provider Enumeration Date: 07/10/2009
Last Update Date: 07/10/2009

Medicare PECOS Information:

PECOS PAC ID: 2668527920
Enrollment ID: I20090910000155

Medical Identifiers

Medical identifiers for Tina Shahidyazdani such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891924858	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A94813 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Tina Shahidyazdani allows following entities to bill medicare on her behalf.

Entity Name	Centro De Salud De La Comunidad De San Ysidro, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124782685 PECOS PAC ID: 6901709435 Enrollment ID: O20040130000711

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tina Shahidyazdani is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Tina Shahidyazdani, MD 4004 Beyer Blvd, San Ysidro, CA 92173-2007 Ph: (619) 662-4100	Tina Shahidyazdani, MD 4004 Beyer Blvd, San Ysidro, CA 92173-2007 Ph: (619) 662-4100

Reviews and Comments

Pediatrics Doctors in San Ysidro, CA

Dr. Rachel Ann Ireland, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-428-4463 Fax: 619-428-2625
Hasmukh L. Sheth, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100
Aldo E Rodriguez, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100
Dr. Andrea M Herman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-428-4463 Fax: 619-428-2625
Andres Alonso Gomez Garza, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4050 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100
Dr. Timothy D Sahms, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-428-4463 Fax: 619-428-2625

Tina Shahidyazdani, MD - Medicare Pediatrics in San Ysidro, CA