Shira Khoshkerman, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA58912 Issued in CA

Practice address

17200 Ventura Blvd Ste 302
Encino, CA 91316-5008

Phone

(818) 905-8815

NPI assigned

Oct 20, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Shira Khoshkerman Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1508457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1063923738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17200 VENTURA BLVD STE 302",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913165008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17200 VENTURA BLVD STE 302",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913165008",
            "telephone_number": "818-905-8815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5401 Old Court Rd",
            "address_purpose": "LOCATION",
            "city": "Randallstown",
            "state": "MD",
            "postal_code": "211335103",
            "country_code": "US",
            "telephone_number": "410-521-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHOSHKERMAN",
        "first_name": "SHIRA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-20",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MD",
            "license": "C0006666",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA58912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHIRA",
            "last_name": "KHOSHKERMAN",
            "prefix": "MRS.",
            "credential": "PA-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ronit Khoobbayan, PA-C
• Shabnam Khorsand
• Jay Khorsandi, D.D.S.
• Nazly Khorsandi, DDS.
• Sam S Khorsandi, D.D.S
• Khosro Sadeghani MD. Inc
• Arpin V. Khostegyan, DDS
• Greg S. Khounganian, M.D.
• Yasmine Khoushab, LMFY
• Jane Khuri, D.P.M.

• Medical Physician Assistant in Encino, CA
• Providers in Encino, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.