Active NPI
Lotus Joint & Spine Inc
- Ambulatory Surgical Clinic/Center
- Encino, CA
National Provider Identifier
1194378471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 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 DirectoryNPI 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.