Individual provider Active NPI

Justin Albert Daneshrad

  • Student in an Organized Health Care Education/Training Program
  • Beverly Hills, CA
National Provider Identifier
1164058038
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
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
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

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)
Not enrolled

Practice roles

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

Locations

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 and National Provider Directory roles.

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": "1780272000000",
    "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": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Jun 1, 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.