Shervin Shamtoub, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E4734 Issued in CA

Practice address

1401 South Grand Avenue.
Los Angeles, CA 90015

Phone

(818) 416-2919

NPI assigned

Jul 10, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

California School of Podiatric Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Shervin Shamtoub D.P.M. Inc

  • Foot & Ankle Surgery Podiatrist
  • Los Angeles, CA
  • NPI 1700225315
  Medicare reassignment NPD Authorized official
• Central City Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1235283094
  Medicare reassignment NPD
• Mission City Community Network, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hollywood, CA
  • NPI 1710102009
  Medicare reassignment NPD
• Central City Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Upland, CA
  • NPI 1174996318
  NPD
• Mission City Community Network, Inc.

  • Community Health Clinic/Center
  • North Hills, CA
  • NPI 1710370747
  NPD
• Four M Medical Mart a Medical Corporation

  • Occupational Medicine Physician
  • North Hollywood, CA
  • NPI 1447381736
  NPD (past)
• Mahfouz M. Michael,M.D.,Inc.

  • Obstetrics & Gynecology Physician
  • Huntington Park, CA
  • NPI 1134348261
  NPD (past)
• Mahfouz M. Michael,M.D.,Inc.

  • Internal Medicine Physician
  • San Fernando, CA
  • NPI 1609095587
  NPD (past)

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1194923326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5632 VAN NUYS BLVD UNIT 1527",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914014602",
            "telephone_number": "818-416-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 SOUTH GRAND AVENUE.",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90015",
            "telephone_number": "818-416-2919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Colorado Blvd",
            "address_purpose": "LOCATION",
            "city": "Eagle Rock",
            "state": "CA",
            "postal_code": "900412321",
            "country_code": "US",
            "telephone_number": "818-416-2919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAMTOUB",
        "first_name": "SHERVIN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-10",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E4734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shafeeq S Shamsid-Deen, MD
• Masoud Shamszadeh, MD
• Sanam Shamtobi
• Jacqueline Shamtoob, PH.D.
• Deborah Shamtoub, RBT
• Yasaman Shamtoub, PHD
• Hui Yi Shan, MD
• Rongzi Shan, MD
• Tania Shanazari, D.D.S.
• Catherine Shand

• Podiatrist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.

Verify at the official NPI Registry.