Organization Active NPI

Igor Gary Shlifer DO P.C.

Doing business as Evolve Healthcare

  • Multi-Specialty Clinic/Center
  • Woodland Hills, CA
National Provider Identifier
1043761166
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
20A14715 Issued in CA
Legal business name
IGOR GARY SHLIFER DO P.C.
Doing business as
Evolve Healthcare
Practice address
20301 Ventura Blvd
Suite 210
Woodland Hills, CA 91364-2447
Phone
(818) 981-0080
NPI assigned
Oct 24, 2016
Last updated
Aug 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Authorized official

Name
Dr. Igor Gary Shlifer, D.O.NPI 1295174860
Title
President
Phone
(818) 346-4300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 20A14715 CA Primary

Addresses

Primary practice location

20301 Ventura Blvd
Suite 210
Woodland Hills, CA 91364-2447

Mailing address

20301 Ventura Blvd
Suite 210
Woodland Hills, CA 91364-2447
Phone (818) 981-0080

Other names 1

  • Evolve Healthcare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170208002369 CA Part B Supplier - Clinic/Group Practice 1557644911 Receives reassigned benefits from 6 practitioners
Practice locations: Sherman Oaks, CA; Woodland Hills, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2132913Evolve Healthcare20301 Ventura Blvd Ste 210, Woodland Hills, CA 91364Provider-performed microscopyJun 28, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1043761166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20301 VENTURA BLVD",
            "address_2": "SUITE 210",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642447",
            "telephone_number": "818-981-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20301 VENTURA BLVD",
            "address_2": "SUITE 210",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642447",
            "telephone_number": "818-981-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGOR GARY SHLIFER DO P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-24",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A",
        "authorized_official_last_name": "SHLIFER",
        "authorized_official_first_name": "IGOR",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-346-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "CA",
            "license": "20A14715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evolve Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Evolve Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.