NPIMap

Individual provider Active NPI

Aaron Michael Shelub, M.D.

  • Specialist
  • Tarzana, CA
National Provider Identifier
1124103619
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A92108 Issued in CA
Practice address
18370 Burbank Blvd
Ste 414
Tarzana, CA 91356-2804
Phone
(818) 506-3384
Fax
(818) 699-1278
NPI assigned
Oct 25, 2006
Last updated
Oct 28, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A92108 CA Primary

Addresses

Primary practice location

18370 Burbank Blvd
Ste 414
Tarzana, CA 91356-2804

Mailing address

PO Box 572770
Ste 415
Tarzana, CA 91357-2770
Phone (818) 506-3384

Other identifiers 1

IdentifierTypeStateIssuer
1124103619MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081223000679 CA Practitioner - Infectious DiseasePractitioner - Internal Medicine 0143382291 Reassigns benefits to 1 organization
Practice locations: Encino, CA

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

18370 Burbank Blvd
Suite 414
Tarzana, CA 91356-2843
Phone (818) 506-3384

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A92108CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Deanco Healthcare LLC. Past Accepting new patients
Los Robles Regional Medical Center Past Accepting new patients
Simi Valley Hospital and Health Care Services Past Accepting new patients
Canby Retirement Corporation Past Accepting new patients
Canby Retirement Corporation Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Valley Presbyterian Hospital Past Accepting new patients
Tele-Medicine Services Ny, PLLC PastSince Apr 27, 2025 Accepting new patients
Tarzana Medical Center LLC Past Accepting new patients
Barlow Respiratory Hospital Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 11

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477612800000",
    "number": "1124103619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 572770",
            "address_2": "STE 415",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913572770",
            "telephone_number": "818-506-3384",
            "fax_number": "818-699-1278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18370 BURBANK BLVD",
            "address_2": "STE 414",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562804",
            "telephone_number": "818-506-3384",
            "fax_number": "818-699-1278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELUB",
        "first_name": "AARON",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2016-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A92108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124103619",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.