Individual provider Active NPI

Justin Albert Daneshrad

  • Internal Medicine Physician
  • Beverly Hills, CA
National Provider Identifier
1164058038
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A181830 Issued in CA
Practice address
9100 Wilshire Blvd Ste 852W
Beverly Hills, CA 90212-3464
Phone
(310) 652-5210
Fax
(310) 652-5211
NPI assigned
Mar 23, 2020
Last updated
Sep 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A181830 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

9100 Wilshire Blvd Ste 852W
Beverly Hills, CA 90212-3464

Mailing address

PO Box 2054
Beverly Hills, CA 90213-2054
Phone (310) 880-7042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A181830CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Cardiology of Beverly Hills Internal Medicine Current Accepting new patients
Shaun S Daneshrad MD a Medical Corporation Past Accepting new patients

Locations

8920 Wilshire Blvd
Ste 420
Beverly Hills, CA 90211
Phone (310) 652-5210

9100 Wilshire Blvd
Ste 852W
Beverly Hills, CA 90212
Phone (310) 247-0348

Organizations & group practices 2

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": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1164058038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2054",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902132054",
            "telephone_number": "310-880-7042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 WILSHIRE BLVD STE 852W",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123464",
            "telephone_number": "310-652-5210",
            "fax_number": "310-652-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANESHRAD",
        "first_name": "JUSTIN",
        "middle_name": "ALBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-23",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A181830",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; 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.