Shahram Salimitari, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

TRN11167 Issued in FL

Practice address

17609 Ventura Blvd Ste 106
Encino, CA 91316-3866

Phone

(818) 774-2755

NPI assigned

Jul 16, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

General Surgery

Education

Chicago College of Medicine and Surgery, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• La Weight Loss Corp

  • Surgery Physician
  • Encino, CA
  • NPI 1427562677
  Medicare reassignment NPD
• Prime Urgent Care Inc

  • Urgent Care Clinic/Center
  • Encino, CA
  • NPI 1659138444
  Medicare reassignment NPD
• West la Medical Group

  • Surgery Physician
  • Encino, CA
  • NPI 1598462749
  Medicare reassignment NPD
• Hooman Shabatian MD, a Medical Corporation

  • Specialist
  • Encino, CA
  • NPI 1518116466
  NPD (past)
• Mount Sinai Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Tarzana, CA
  • NPI 1427369503
  NPD (past)
• Prestige Surgical Center LLC

  • Ambulatory Surgical Clinic/Center
  • Tarzana, CA
  • NPI 1902587637
  NPD (past)

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1043419484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 N BUNDY DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900492829",
            "telephone_number": "773-469-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17609 VENTURA BLVD STE 106",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163866",
            "telephone_number": "818-774-2755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALIMITARI",
        "first_name": "SHAHRAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-16",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "TRN11167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priscilla Salcedo
• Miguel Saldivar
• Hope Salehi
• Mojgan Salehipour
• Salvador Salgado
• Fereshteh Salimshahshahani, PHARMACIST
• David Angel Salinas
• Marla Denise Saltzman, MA, BCBA
• Natalie Salvador
• Sam I. Naim, DDS, a Professional Dental Corporation

• Surgery Physician in Encino, CA
• Providers in Encino, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.