NPIMap

Individual provider Active NPI

Shahin Pourrabbani, M.D.

  • Surgery Physician
  • Lynwood, CA
National Provider Identifier
1013226877
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A112416 Issued in CA
Practice address
3680 E Imperial Hwy Ste 502
Lynwood, CA 90262-2661
Phone
(562) 698-0271
Fax
(562) 698-7467
NPI assigned
Sep 28, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A112416 CA Primary

Addresses

Primary practice location

3680 E Imperial Hwy Ste 502
Lynwood, CA 90262-2661

Mailing address

3680 E Imperial Hwy Ste 502
Lynwood, CA 90262-2661
Phone (562) 698-0271

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150814014733 CA Practitioner - Vascular SurgeryPractitioner - General Surgery 9931414224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
University of California, San Diego School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vascular and Thoracic Associates of Los AngelesGroup PAC ID 0042248627, 2 clinicians

Practice addresses (Care Compare)

3680 E Imperial Hwy
Suite 502
Lynwood, CA 90262-2661
Phone (562) 698-0271

Hospital & facility affiliations

  • Saint Francis Medical Center Hospital, Lynwood, CA, CCN 050104
  • Memorial Hospital of Gardena Hospital, Gardena, CA, CCN 050468

Merit-based Incentive Payment System (MIPS)

Final score
95.98 of 100Reported as group
Quality
100
Improvement activities
40
Cost
53.26

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal27
Leg revascularization (restoring blood flow)175
Removal of tissue33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A112416CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vascular & Thoracic Associates of Los Angeles CurrentSince Jun 3, 2017 Accepting new patients
Emanate Health Medical Center Past Accepting new patients
Martin Luther King, Jr. - Los Angeles (MLK-la) Healthcare Corporation Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
Emanate Health Foothill Presbyterian Hospital Past Accepting new patients
Prime Healthcare Services - Montclair, LLC Past Accepting new patients
San Dimas Community Hospital, Inc. Past Accepting new patients
Gardena Hospital LP Past Accepting new patients
St Francis Medical Center Past Accepting new patients

Locations

1251 W Redondo Beach Blvd
Fl 3
Gardena, CA 90247
Phone (310) 965-0500

3680 E Imperial Hwy
Ste 502
Lynwood, CA 90262
Phone (310) 905-3331

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

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

Organizations & group practices 10

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": "1285632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1013226877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3680 E IMPERIAL HWY STE 502",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902622661",
            "telephone_number": "562-698-0271",
            "fax_number": "562-698-7467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 E IMPERIAL HWY STE 502",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902622661",
            "telephone_number": "562-698-0271",
            "fax_number": "562-698-7467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POURRABBANI",
        "first_name": "SHAHIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-28",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A112416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynwood, CA

Sources for this page

Verify at the official NPI Registry.