Individual provider Active NPI

Shirin Kohanim, NP

  • Family Nurse Practitioner
  • Torrance, CA
National Provider Identifier
1043623796
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F345171 Issued in NY
Practice address
1907 Border Ave
Torrance, CA 90501-3606
Phone
(844) 443-6246
Fax
(833) 907-2235
NPI assigned
Jun 10, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 685362 NY
Family Nurse Practitioner 363LF0000X F345171 NY Primary

Addresses

Primary practice location

1907 Border Ave
Torrance, CA 90501-3606

Mailing address

19 Schenck Ave Apt 2D
Great Neck, NY 11021-3613
Phone (917) 808-3196

Other practice location 1

19 Schenck Ave Apt 2D
Great Neck, NY 11021-3613
Phone (917) 808-3196

Other practice location 2

1400 Ocean Ave
Apatment 1 C
Brooklyn, NY 11230-3866
Phone (917) 808-3196

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, CA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220920000412 NY Practitioner - Nurse Practitioner 1850776311 Reassigns benefits to 2 organizations
I20260106004143 NJ Practitioner - Nurse Practitioner 1850776311 Reassigns benefits to 2 organizations
I20260423001235 CA Practitioner - Nurse Practitioner 1850776311 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

650 California St
FL 7
San Francisco, CA 94108-2615

685 3Rd Ave
FL 9
New York, NY 10017-8401

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
685362NYMDCommunity Health Registered Nurse
F345171NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New York City Health and Hospitals Corporation CurrentSince May 24, 2022 Accepting new patients
Mobile Urgent Care Medical Services PC CurrentSince Oct 23, 2025 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince May 24, 2022 Accepting new patients
New York City Health and Hospitals Corporation Current Accepting new patients
Mobile Medical Healthcare, P.C. CurrentSince Sep 1, 2025 Accepting new patients

Locations

2540 Ridgemar Ct
Louisville, KY 40299

701 Cooper Rd
Ste 1
Voorhees, NJ 08043
Phone (844) 553-6246

545 E 142nd St
Bronx, NY 10454
Phone (718) 579-1719

227 Madison St
Fl First
New York, NY 10002
Phone (212) 238-7071

50 Water St
Fl 3
New York, NY 10004

685 3rd Ave
Fl 9
New York, NY 10017
Phone (212) 273-9770

35 W 35th St
Fl 4
New York, NY 10001
Phone (844) 553-6246

227 Madison St
New York, NY 10002
Phone (212) 238-7000

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: skohanim1361357@nychhc.direct-ci.com
  • Direct secure messaging: shirin.kohanim.1@24989.direct.athenahealth.com

Organizations & group practices 6

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": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1043623796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 SCHENCK AVE APT 2D",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110213613",
            "telephone_number": "917-808-3196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 BORDER AVE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905013606",
            "telephone_number": "844-443-6246",
            "fax_number": "833-907-2235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 Schenck Ave Apt 2D",
            "address_purpose": "LOCATION",
            "city": "Great Neck",
            "state": "NY",
            "postal_code": "110213613",
            "country_code": "US",
            "telephone_number": "917-808-3196",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 Ocean Ave",
            "address_2": "Apatment 1 C",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112303866",
            "country_code": "US",
            "telephone_number": "917-808-3196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOHANIM",
        "first_name": "SHIRIN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-10",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "NY",
            "license": "685362",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F345171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.