Individual provider Active NPI

Shamim Vahid Shakibai, M.D.

  • Internal Medicine Physician
  • West Hollywood, CA
National Provider Identifier
1164607677
Registry record updated Oct 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A100843 Issued in CA
Practice address
8733 Beverly Blvd Ste 306
West Hollywood, CA 90048-1843
Phone
(310) 388-6798
Fax
(323) 400-4302
NPI assigned
Jan 2, 2008
Last updated
Oct 31, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A100843 CA Primary

Addresses

Primary practice location

8733 Beverly Blvd Ste 306
West Hollywood, CA 90048-1843

Mailing address

PO Box 491352
Los Angeles, CA 90049-9352
Phone (310) 923-2370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, CO, FL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20081203000595 CA Practitioner - Internal Medicine 1456412832 Reassigns benefits to 3 organizations
I20240620004188 CO Practitioner - Internal Medicine 1456412832 Reassigns benefits to 1 organization
I20250826002897 FL Practitioner - Internal Medicine 1456412832 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of California, Davis School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mypreop Medical Group IncGroup PAC ID 5193199586, 3 clinicians

Practice addresses (Care Compare)

1200 17TH St
Denver, CO 80202-5835
Phone (310) 571-8159

16945 Mount Eden St
Fountain Valley, CA 92708-2519
Phone (310) 571-8159

8345 NW 66TH St
F7425
Miami, FL 33195-2696
Phone (310) 571-8159

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
100843CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mypreop Medical Group Inc Internal Medicine CurrentSince Jan 1, 2023 Accepting new patients
Inpatient Specialists of California, PC Internal Medicine CurrentSince Dec 1, 2020 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Quantum Healthcare Medical Associates Inc. Internal Medicine Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients

Locations

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

8721 Santa Monica Blvd
West Hollywood, CA 90069
Phone (310) 435-1862

8733 Beverly Blvd
Ste 201
West Hollywood, CA 90048
Phone (310) 477-8400

8733 Beverly Blvd
Ste 306
West Hollywood, CA 90048
Phone (310) 388-6798

8733 Beverly Blvd
Ste 408
West Hollywood, CA 90048
Phone (310) 295-2255

8733 Beverly Blvd
Ste 408B
West Hollywood, CA 90048
Phone (310) 295-2255

1200 17th St
Denver, CO 80202
Phone (310) 571-8159

8345 NW 66th St
Miami, FL 33166
Phone (305) 807-3799

Organizations & group practices 6

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 2

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": "1199232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604102400000",
    "number": "1164607677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 491352",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900499352",
            "telephone_number": "310-923-2370",
            "fax_number": "424-208-2835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8733 BEVERLY BLVD STE 306",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481843",
            "telephone_number": "310-388-6798",
            "fax_number": "323-400-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAKIBAI",
        "first_name": "SHAMIM",
        "middle_name": "VAHID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-02",
        "last_updated": "2020-10-31",
        "certification_date": "2020-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A100843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

Verify at the official NPI Registry.