Active NPI
Ladan Shahabi, MD
- Dermatology Physician
- Beverly Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- C152994
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C152994 | CA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Regents of the University of California | Dermatology | Current | Accepting new patients |
| The Regents of the University of California | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| The Regents of the University of California | Current | Accepting new patients | |
| New York University | Current | 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
- 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.
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1235107566
-
- Dermatology Physician
- Los Angeles, CA
- NPI 1568431310
-
- Ambulatory Surgical Clinic/Center
- Valencia, CA
- NPI 1689200305
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.