Organization Active NPI

Multi-Specialty Healthcare Management Services, Inc.

  • Ambulatory Surgical Clinic/Center
  • Encino, CA
National Provider Identifier
1154788289
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
583427 Issued in CA
Legal business name
MULTI-SPECIALTY HEALTHCARE MANAGEMENT SERVICES, INC.
Practice address
16952 Ventura Blvd Ste 100-a
Encino, CA 91316-4197
Phone
(818) 789-3964
Fax
(818) 789-3967
NPI assigned
Jan 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Authorized official

Name
Pejman E Shirazy, M.D.
Title
President
Phone
(818) 789-3964

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 583427 CA Primary

Addresses

Primary practice location

16952 Ventura Blvd Ste 100-a
Encino, CA 91316-4197

Mailing address

16952 Ventura Blvd Ste 100-a
Encino, CA 91316-4197
Phone (818) 789-3964

Other identifiers 1

IdentifierTypeStateIssuer
583427OtherCAJACHO ORGANIZATION IDENTIFICATION NUMBER

National Provider Directory

National Provider Directory

Locations

16952 Ventura Blvd
Ste 100A
Encino, CA 91316
Phone (818) 789-3964

NPI Registry JSON

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

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1154788289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16952 VENTURA BLVD STE 100-A",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164197",
            "telephone_number": "818-789-3964",
            "fax_number": "818-789-3967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16952 VENTURA BLVD STE 100-A",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164197",
            "telephone_number": "818-789-3964",
            "fax_number": "818-789-3967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTI-SPECIALTY HEALTHCARE MANAGEMENT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-20",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "SHIRAZY",
        "authorized_official_first_name": "PEJMAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-789-3964",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "583427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JACHO ORGANIZATION IDENTIFICATION NUMBER",
            "identifier": "583427",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.