Active NPI
Shawn Michael Roofian, MD
- Pain Medicine (Anesthesiology) Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- A113626
- Practice address
- 1500 San Pablo St
4TH Floor
Los Angeles, CA 90033-5313 - Phone
- (323) 442-7400
- NPI assigned
- Aug 20, 2009
- Last updated
- Jun 26, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A113626 | CA | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | A113626 | CA | Primary |
Addresses
Primary practice location
1500 San Pablo St
4TH Floor
Los Angeles, CA 90033-5313
Mailing address
PO Box 3129
Torrance, CA 90510-3129
Phone (310) 792-3914
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
8500 Wilshire Blvd
Suite 105
Beverly Hills, CA 90211-3110
Phone (310) 926-4922
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A113626 | CA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shawn Roofian MD Inc | Pain Medicine | Current | Accepting new patients |
| Pih Health Physicians | Anesthesiology | Current | Accepting new patients |
| R & R Surgical Centers | Current | Accepting new patients | |
| Pih Health Physicians | Current | Accepting new patients | |
| Pih Health Physicians | Current | Accepting new patients | |
| Precision Occupational Medical Group, Inc. | Past | Accepting new patients |
Locations
8500 Wilshire Blvd
Ste 105
Beverly Hills, CA 90211
Phone (310) 926-4922
310 Third Ave
Ste B5
Chula Vista, CA 91910
Phone (310) 926-4922
12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339
19228 Ventura Blvd
Ste A
Tarzana, CA 91356
Phone (818) 225-0045
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.
-
dba Integrated Pain Management
- Pain Medicine (Anesthesiology) Physician
- Beverly Hills, CA
- NPI 1447772561
-
- Family Medicine Physician
- Whittier, CA
- NPI 1609233899
-
dba R&R Surgical
- Ambulatory Surgical Clinic/Center
- Beverly Hills, CA
- NPI 1538722699
-
- Anesthesiology Physician
- Downey, CA
- NPI 1447931506
-
- Family Medicine Physician
- La Mirada, CA
- NPI 1982857967
-
- Physical Medicine & Rehabilitation Physician
- West Covina, CA
- NPI 1821290024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561507200000",
"number": "1164654380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3129",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905103129",
"telephone_number": "310-792-3914",
"fax_number": "855-898-4055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 SAN PABLO ST",
"address_2": "4TH FLOOR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900335313",
"telephone_number": "323-442-7400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROOFIAN",
"first_name": "SHAWN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-20",
"last_updated": "2019-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A113626",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "CA",
"license": "A113626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.