Individual provider Active NPI

Arash Shamsian, MD, MHA

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Van Nuys, CA
National Provider Identifier
1033614078
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
R80385 Issued in CA
Practice address
6420 Van Nuys Blvd Ste 201
Van Nuys, CA 91401-1436
Phone
(747) 282-1515
NPI assigned
Mar 29, 2018
Reactivated
Jun 29, 2023
Last updated
Jun 29, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X R80385 AZ
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X R80385 CA Primary

Addresses

Primary practice location

6420 Van Nuys Blvd Ste 201
Van Nuys, CA 91401-1436

Mailing address

8631 W 3Rd St Ste 440E
Los Angeles, CA 90048-5971

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R80385AZMDHospice and Palliative Medicine (Internal Medicine) Physician
R80385CAMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Gate Hospice Care CurrentSince Jul 2, 2023 Accepting new patients

Locations

6420 Van Nuys Blvd
Ste 201
Van Nuys, CA 91401
Phone (747) 282-1515

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1033614078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8631 W 3RD ST STE 440E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 VAN NUYS BLVD STE 201",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011436",
            "telephone_number": "747-282-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMSIAN",
        "first_name": "ARASH",
        "name_prefix": "Dr.",
        "credential": "MD, MHA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-29",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "deactivation_date": "2019-07-23",
        "reactivation_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "AZ",
            "license": "R80385",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "R80385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.