Individual provider Active NPI

Shahnaz Ghahremani Koureh, M.D.

  • Diagnostic Radiology Physician
  • Los Angeles, CA
National Provider Identifier
1205169075
Registry record updated Dec 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A114675 Issued in CA
Practice address
757 Westwood PLZ
Los Angeles, CA 90095-3075
Phone
(310) 825-6615
NPI assigned
Sep 11, 2009
Last updated
Dec 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Radiology Physician 2085P0229X A114675 CA
Diagnostic Radiology Physician 2085R0202X A114675 CA Primary

Addresses

Primary practice location

757 Westwood PLZ
Los Angeles, CA 90095-3075

Mailing address

5767 W Century Blvd
Suite 400
Los Angeles, CA 90045-5631

Other practice location 1

200 Ucla Medical Plz Ste B165-76
Los Angeles, CA 90095-3075
Phone (310) 301-6800

Other practice location 2

2200 N Sepulveda Blvd
Manhattan Beach, CA 90266-2910
Phone (310) 802-0200

Other practice location 3

1245 16th St Ste 110
Santa Monica, CA 90404-1240
Phone (310) 319-4033

Other names 1

  • Shahnaz Ghahremani Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091026000237 CA Practitioner - Diagnostic Radiology 0446397301 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
UCLA Radiology Medical GroupGroup PAC ID 8921902065, 193 clinicians

Practice addresses (Care Compare)

100 Medical Plaza
Los Angeles, CA 90095-0001
Phone (310) 301-6800

135 E Compton Blvd
Compton, CA 90220-2410
Phone (424) 338-8790

1680 E 120TH St
Los Angeles, CA 90059-3026

200 Medical Plaza
Los Angeles, CA 90095-0001
Phone (310) 301-6800

2215 W Rosecrans Ave
Compton, CA 90222-3856

248 Hampshire Rd
Suite 100
Thousand Oaks, CA 91361-2401
Phone (805) 370-0040

300 Medical Plaza
Los Angeles, CA 90095-0001
Phone (310) 301-6800

300 UCLA Medical PLZ
Suite B130
Los Angeles, CA 90095-8346
Phone (310) 206-0456

4323 Riverside Dr
Burbank, CA 91505-4044
Phone (818) 556-2700

4560 Admiralty Way
Suite 100
Marina del Rey, CA 90292-5424
Phone (310) 827-3700

501 Deep Valley Dr
Suite 100
Rolling Hills Estates, CA 90274-7606
Phone (310) 265-6401

6000 Sepulveda Blvd
Suite E10
Culver City, CA 90230-6421
Phone (310) 313-0020

700 W 7TH St
Suite S270 D
Los Angeles, CA 90017-3768
Phone (213) 988-8339

757 Westwood PLZ
Los Angeles, CA 90095-8358
Phone (310) 825-9111

9675 Brighton Way
Suite 100
Beverly Hills, CA 90210-5132
Phone (310) 205-7310

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.13 of 100Reported as group
Quality
62.91
Promoting interoperability
100
Improvement activities
40
Cost
68.15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A114675CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California CurrentSince Jun 21, 2014 Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Nov 18, 2018 Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Nov 18, 2018 Accepting new patients
UCLA Radiology Medical Group Pediatric Radiology CurrentSince Nov 11, 2010 Accepting new patients
Regents of the University of California CurrentSince Jun 21, 2014 Accepting new patients
UCLA Medical Group Diagnostic Radiology Past Accepting new patients
Regents of the University of California Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients

Locations

2215 W Rosecrans Ave
Ste 22
Compton, CA 90222
Phone (424) 529-6755

1000 Flower St
Glendale, CA 91201
Phone (818) 659-5000

100 UCLA Medical Plz
Ste 170
Los Angeles, CA 90024
Phone (858) 534-3880

10833 Le Conte Ave
Los Angeles, CA 90095
Phone (310) 301-8932

1680 E 120th St
Los Angeles, CA 90059
Phone (424) 338-8000

200 UCLA Medical Plz
Ste B16576
Los Angeles, CA 90095

300 UCLA Medical Plz
Ste B130
Los Angeles, CA 90095
Phone (310) 206-0456

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

757 Westwood Plz
Los Angeles, CA 90095
Phone (310) 267-9448

File 59755
Los Angeles, CA 90074

2200 N Sepulveda Blvd
Manhattan Beach, CA 90266
Phone (310) 802-0200

4343 Lankershim Blvd
#200
North Hollywood, CA 91602
Phone (818) 843-9038

1187 Coast Village Rd
Ste 10A
Santa Barbara, CA 93108
Phone (805) 565-0020

1187 Coast Village Rd
Ste 10B
Santa Barbara, CA 93108
Phone (805) 403-8541

1245 16th St
Ste 110
Santa Monica, CA 90404
Phone (310) 319-4033

1250 16th St
Santa Monica, CA 90404
Phone (310) 301-8695

27235 Tourney Rd
Ste 1500
Valencia, CA 91355
Phone (661) 253-5858

Interoperability endpoints

  • Direct secure messaging: sghahremanikoureh59304@direct.uclahealth.org

Organizations & group practices 8

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 4

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": "1252627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1205169075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD",
            "address_2": "SUITE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 WESTWOOD PLZ",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900953075",
            "telephone_number": "310-825-6615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Ucla Medical Plz Ste B165-76",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900953075",
            "country_code": "US",
            "telephone_number": "310-301-6800",
            "fax_number": "310-794-9035",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 N Sepulveda Blvd",
            "address_purpose": "LOCATION",
            "city": "Manhattan Beach",
            "state": "CA",
            "postal_code": "902662910",
            "country_code": "US",
            "telephone_number": "310-802-0200",
            "fax_number": "310-794-9035",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1245 16th St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904041240",
            "country_code": "US",
            "telephone_number": "310-319-4033",
            "fax_number": "310-794-9035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHAHREMANI KOUREH",
        "first_name": "SHAHNAZ",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-11",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "CA",
            "license": "A114675",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A114675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAHNAZ",
            "last_name": "GHAHREMANI",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.