Individual provider Active NPI

Shawn Rabbani, DPM

  • Podiatrist
  • Reseda, CA
National Provider Identifier
1114954195
Registry record updated Oct 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E3914 Issued in CA
Practice address
18909 Sherman Way Ste B
Reseda, CA 91335-7700
Phone
(818) 344-6300
Fax
(818) 774-9719
NPI assigned
Jun 27, 2006
Last updated
Oct 18, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E3914 CA Primary

Addresses

Primary practice location

18909 Sherman Way Ste B
Reseda, CA 91335-7700

Mailing address

18909 Sherman Way Ste B
Reseda, CA 91335-7700
Phone (818) 344-6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110323000319 CA Practitioner - Podiatry 3173736253 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18909 Sherman Way
Suite B
Reseda, CA 91335-7700
Phone (818) 344-6300

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue17
Removal of nail tissue292
Removal or shaving of skin growth139

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E3914CAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sherman Way Surgical Center Inc Current Accepting new patients
My Foot Clinic, Inc Current Accepting new patients
My Foot Clinic, Inc. Podiatrist CurrentSince May 1, 2020 Accepting new patients
Shawn S Rabbani DPM Inc Podiatrist CurrentSince Jan 17, 2011 Accepting new patients
Tarzana Medical Center LLC Past Accepting new patients

Locations

18022 Pioneer Blvd
Artesia, CA 90701
Phone (562) 402-3668

18909 Sherman Way
Reseda, CA 91335
Phone (310) 409-9899

18909 Sherman Way
Ste 100
Reseda, CA 91335
Phone (818) 774-1309

18909 Sherman Way
Ste 100B
Reseda, CA 91335

18909 Sherman Way
Ste B
Reseda, CA 91335
Phone (818) 344-6300

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318896000000",
    "number": "1114954195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18909 SHERMAN WAY STE B",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913357700",
            "telephone_number": "818-344-6300",
            "fax_number": "818-774-9719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18909 SHERMAN WAY STE B",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913357700",
            "telephone_number": "818-344-6300",
            "fax_number": "818-774-9719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABBANI",
        "first_name": "SHAWN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2011-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reseda, CA

Sources for this page

Verify at the official NPI Registry.