Organization Active NPI

Lotus Joint & Spine Inc

  • Ambulatory Surgical Clinic/Center
  • Encino, CA
National Provider Identifier
1194378471
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
LOTUS JOINT & SPINE INC
Practice address
16550 Ventura Blvd Ste 400
Encino, CA 91436-2040
Phone
(818) 307-6508
NPI assigned
Jul 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Authorized official

Name
Dr. Ramin Shamtob, MD
Title
Medical Director/President
Phone
(818) 307-6508

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

16550 Ventura Blvd Ste 400
Encino, CA 91436-2040

Mailing address

16550 Ventura Blvd Ste 400
Encino, CA 91436-2040
Phone (818) 307-6508

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563235200000",
    "number": "1194378471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16550 VENTURA BLVD STE 400",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362040",
            "telephone_number": "818-307-6508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16550 VENTURA BLVD STE 400",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362040",
            "telephone_number": "818-307-6508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS JOINT & SPINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-16",
        "last_updated": "2019-07-16",
        "status": "A",
        "authorized_official_last_name": "SHAMTOB",
        "authorized_official_first_name": "RAMIN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/PRESIDENT",
        "authorized_official_telephone_number": "818-307-6508",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 16, 2019; 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.