Active NPI
Amy Shouhed
- Certified Registered Nurse Anesthetist
- Los Angeles, CA
National Provider Identifier
1114340023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 95000048
- Practice address
- 320 S Clark Dr
Apartment 203
Los Angeles, CA 90048-3223 - Phone
- (310) 927-5347
- NPI assigned
- Jan 28, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 95000048 | CA | Primary |
| Registered Nurse | 163W00000X | 746862 | CA |
Addresses
Primary practice location
320 S Clark Dr
Apartment 203
Los Angeles, CA 90048-3223
Mailing address
450 N Roxbury Dr
Ste 600
Beverly Hills, CA 90210-4225
Phone (310) 651-2040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 81.38 of 100
- Quality
- 75.51
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 746862 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687996800000",
"number": "1114340023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 N ROXBURY DR",
"address_2": "STE 600",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902104225",
"telephone_number": "310-651-2040",
"fax_number": "310-651-2055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 S CLARK DR",
"address_2": "APARTMENT 203",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900483223",
"telephone_number": "310-927-5347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOUHED",
"first_name": "AMY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-28",
"last_updated": "2023-06-29",
"certification_date": "2023-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "95000048",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "746862",
"primary": false
}
],
"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 Jun 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.