Individual provider Active NPI

Imran Shaikh, MD

  • Family Medicine Physician
  • Glendale, CA
National Provider Identifier
1043875131
Registry record updated Mar 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A176045 Issued in CA
Practice address
759 Americana Way
Glendale, CA 91210-1507
Phone
(818) 659-9415
NPI assigned
May 5, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A176045 CA Primary

Addresses

Primary practice location

759 Americana Way
Glendale, CA 91210-1507

Mailing address

759 Americana Way
Glendale, CA 91210-1507

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
I20220927003347 CA Practitioner - Family Practice 0042696171 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Community HealthcareGroup PAC ID 4284601824, 23 clinicians

Practice addresses (Care Compare)

6801 Coldwater Canyon Ave
North Hollywood, CA 91605-5162
Phone (818) 301-6307

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A176045CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Community Healthcare CurrentSince Jun 2, 2025 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Aug 1, 2022 Accepting new patients
Healthcare Partners Affiliates Medical Group Family Medicine CurrentSince Aug 1, 2022 Accepting new patients
Valley Community Healthcare CurrentSince Jun 2, 2025 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

6801 Coldwater Canyon Ave
North Hollywood, CA 91605
Phone (818) 301-6307

13400 Riverside Dr
Ste 300
Sherman Oaks, CA 91423
Phone (310) 275-1867

1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611

3565 Del Amo Blvd
Torrance, CA 90503

Organizations & group practices 5

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": "1557014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710028800000",
    "number": "1043875131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "759 AMERICANA WAY",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912101507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "759 AMERICANA WAY",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912101507",
            "telephone_number": "818-659-9415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAIKH",
        "first_name": "IMRAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-05",
        "last_updated": "2024-03-10",
        "certification_date": "2024-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A176045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.