Individual provider Active NPI

Shahrokh Zahed, M.D

  • Clinic/Center
  • Buena Park, CA
National Provider Identifier
1043364433
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
A55420 Issued in CA
Practice address
6550 Knott Ave
Buena Park, CA 90621-2612
Phone
(714) 522-3333
Fax
(714) 522-3085
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X A55420 CA Primary

Addresses

Primary practice location

6550 Knott Ave
Buena Park, CA 90621-2612

Mailing address

6550 Knott Ave
Buena Park, CA 90621-2612
Phone (714) 522-3333

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170103001165 CA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 8921389073

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A55420CAMDClinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Salamati & Zahed Medical Corp Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043364433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 KNOTT AVE",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906212612",
            "telephone_number": "714-522-3333",
            "fax_number": "714-522-3085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 KNOTT AVE",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906212612",
            "telephone_number": "714-522-3333",
            "fax_number": "714-522-3085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAHED",
        "first_name": "SHAHROKH",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A55420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Park, CA

Sources for this page

Verify at the official NPI Registry.