Organization Active NPI

Rahim Shapoory M.D. Inc.

  • Otolaryngology Physician
  • Burbank, CA
National Provider Identifier
1043395973
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A28518 Issued in CA
Legal business name
RAHIM SHAPOORY M.D. INC.
Practice address
421 E Angeleno Ave
Suite 102
Burbank, CA 91501-2286
Phone
(818) 845-6800
Fax
(818) 843-7871
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Rahim Mohammad Shapoory, MD
Title
Owner
Phone
(818) 845-6800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Y00000X A28518 CA Primary

Addresses

Primary practice location

421 E Angeleno Ave
Suite 102
Burbank, CA 91501-2286

Mailing address

421 E Angeleno Ave
Suite 102
Burbank, CA 91501-2286
Phone (818) 845-6800

National Provider Directory

National Provider Directory
Tax ID family
Clinica del Cuidado Latino2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043395973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 E ANGELENO AVE",
            "address_2": "SUITE 102",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915012286",
            "telephone_number": "818-845-6800",
            "fax_number": "818-843-7871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 E ANGELENO AVE",
            "address_2": "SUITE 102",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915012286",
            "telephone_number": "818-845-6800",
            "fax_number": "818-843-7871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAHIM SHAPOORY M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAPOORY",
        "authorized_official_first_name": "RAHIM",
        "authorized_official_middle_name": "MOHAMMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-845-6800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A28518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.