Shahriar Ghodsian MD Inc

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

A72696 Issued in CA

Legal business name

SHAHRIAR GHODSIAN MD INC

Practice address

2100 Lynn Rd
Suite 115
Thousand Oaks, CA 91360-1935

Phone

(310) 854-0606

Fax

(310) 914-9705

NPI assigned

Jun 15, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Shahriar Ghodsian, MDNPI 1699728410

Title

President

Phone

(310) 854-0606

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Shahriar Ghodsian MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Shahriar Ghodsian, MD, Inc

  • Pulmonary Disease Physician
  • Los Angeles, CA
  • NPI 1629268651
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shahriar Ghodsian, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Thousand Oaks, CA
  • NPI 1699728410
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402531200000",
    "number": "1114212388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5265",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902095265",
            "telephone_number": "310-854-0606",
            "fax_number": "310-914-9705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 LYNN RD",
            "address_2": "SUITE 115",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601935",
            "telephone_number": "310-854-0606",
            "fax_number": "310-914-9705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAHRIAR GHODSIAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-15",
        "last_updated": "2014-06-12",
        "status": "A",
        "authorized_official_last_name": "GHODSIAN",
        "authorized_official_first_name": "SHAHRIAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-854-0606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A72696",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A72696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A726960",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aamir S Shah, MD
• Binal Dalsania Shah, CRNA
• Mrugesh C Shah, M.D.
• Nikita Mukesh Shah, MD
• Shibani Shah
• Puja Shahrouki, MD
• Shahrzad Shareghi MD PC
• Kristine Shahverdyan, OD
• Daniel Scott Shannon, D.C.
• Gina C Shao, O.D.

• Pulmonary Disease Physician in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Pulmonary Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.