Individual provider Active NPI

Ladan Shahabi, MD

  • Dermatology Physician
  • Beverly Hills, CA
National Provider Identifier
1093833709
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
C152994 Issued in CA
Practice address
8641 Wilshire Blvd Ste 115
Beverly Hills, CA 90211
Phone
(310) 855-7002
Fax
(310) 855-7003
NPI assigned
Mar 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X C152994 CA Primary

Addresses

Primary practice location

8641 Wilshire Blvd Ste 115
Beverly Hills, CA 90211

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other practice location 1

530 1st Ave
Ste 7H
New York, NY 10016-6402
Phone (212) 263-7019

Other practice location 2

2020 Santa Monica Blvd Ste 510
Santa Monica, CA 90404-2131
Phone (310) 917-3376

Other practice location 3

2001 Santa Monica Blvd Ste 1070
Santa Monica, CA 90404-2202
Phone (310) 917-3376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090529000143 NY Practitioner - Dermatology 0840381364 Reassigns benefits to 1 organization
I20190828002885 CA Practitioner - Dermatology 0840381364 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C152994CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Regents of the University of California Dermatology CurrentSince Sep 1, 2019 Accepting new patients
The Regents of the University of California CurrentSince Sep 1, 2019 Accepting new patients
New York University CurrentSince May 1, 2012 Accepting new patients
The Regents of the University of California CurrentSince Sep 1, 2019 Accepting new patients
New York University CurrentSince May 1, 2012 Accepting new patients
UCLA Medical Group Dermatology Past Accepting new patients

Locations

8641 Wilshire Blvd
Ste 115
Beverly Hills, CA 90211
Phone (310) 855-7002

24302 Paseo de Valencia
Ste 200
Laguna Hills, CA 92653
Phone (949) 458-8252

200 Medical Plz
Ste 465
Los Angeles, CA 90095
Phone (310) 825-5510

File 55737
Los Angeles, CA 90074

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

2020 Santa Monica Blvd
Ste 510
Santa Monica, CA 90404
Phone (310) 633-8400

2001 Santa Monica Blvd
Ste 1070
Santa Monica, CA 90404
Phone (310) 315-7900

2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381

100 Moody Ct
Ste 110
Thousand Oaks, CA 91360
Phone (805) 418-3500

100 Moody Ct
Ste 200
Thousand Oaks, CA 91360
Phone (805) 418-3500

530 1st Ave
Ste 7H
New York, NY 10016
Phone (212) 263-7019

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Interoperability endpoints

  • Direct secure messaging: lshahabi728680@direct.uclahealth.org

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": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1093833709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8641 WILSHIRE BLVD STE 115",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90211",
            "telephone_number": "310-855-7002",
            "fax_number": "310-855-7003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 1st Ave",
            "address_2": "Ste 7H",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100166402",
            "country_code": "US",
            "telephone_number": "212-263-7019",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2020 Santa Monica Blvd Ste 510",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904042131",
            "country_code": "US",
            "telephone_number": "310-917-3376",
            "fax_number": "310-582-6302",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 Santa Monica Blvd Ste 1070",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904042202",
            "country_code": "US",
            "telephone_number": "310-917-3376",
            "fax_number": "310-582-6302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAHABI",
        "first_name": "LADAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "C152994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.