Active NPI
Sheila S Nazarian Mobin, M.D.
- Plastic Surgery Physician
- Los Angeles, CA
National Provider Identifier
1114197589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- A97647
- Practice address
- 10445 Wilshire Blvd
#1903
Los Angeles, CA 90024-4634 - Phone
- (310) 621-1326
- NPI assigned
- Mar 2, 2008
- 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 |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | A97647 | CA | Primary |
Addresses
Primary practice location
10445 Wilshire Blvd
#1903
Los Angeles, CA 90024-4634
Mailing address
120 S. Spalding Dr #315
Beverly Hills, CA 90212
Phone (310) 659-0500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A97647 | CA | MD | Plastic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637020800000",
"number": "1114197589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 S. SPALDING DR #315",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "90212",
"telephone_number": "310-659-0500",
"fax_number": "310-388-1002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10445 WILSHIRE BLVD",
"address_2": "#1903",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900244634",
"telephone_number": "310-621-1326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAZARIAN MOBIN",
"first_name": "SHEILA",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-02",
"last_updated": "2021-11-16",
"certification_date": "2021-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "CA",
"license": "A97647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.