Individual provider Active NPI

Pantea Sharifi, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Torrance, CA
National Provider Identifier
1205851599
Registry record updated Mar 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
A78624 Issued in CA
Practice address
3524 Torrance Blvd
Ste 103
Torrance, CA 90503-4821
Phone
(310) 540-1630
Fax
(310) 543-0400
NPI assigned
Jul 13, 2006
Last updated
Mar 8, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Neurodevelopmental Disabilities Physician 2080P0008X A78624 CA
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X A78624 CA Primary

Addresses

Primary practice location

3524 Torrance Blvd
Ste 103
Torrance, CA 90503-4821

Mailing address

3524 Torrance Blvd
Ste 103
Torrance, CA 90503-4821
Phone (310) 540-1630

Other identifiers 1

IdentifierTypeStateIssuer
1205851599MedicaidCA

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
I20060921000326 CA Practitioner - Pediatric MedicinePractitioner - Neurology 5294730479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Neurology
Education
Chicago College of Medicine and Surgery, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
UC RegentsGroup PAC ID 4587568829, 97 clinicians

Practice addresses (Care Compare)

10833 Le Conte Ave
Los Angeles, CA 90095-3075

10833 Leconte Ave
Los Angeles, CA 90095-3075
Phone (310) 825-9124

1260 15TH St
Santa Monica, CA 90404-1145
Phone (310) 825-0867

200 Medical Plaza
Los Angeles, CA 90095-0001

300 Medical Plaza
Los Angeles, CA 90095-0001

Merit-based Incentive Payment System (MIPS)

Final score
77.64 of 100Reported as group
Quality
82.13
Promoting interoperability
100
Improvement activities
40
Cost
10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
UC Regents CurrentSince Jan 5, 2013 Accepting new patients
UCLA Medical Group Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Pediatric Minds Medical Center Past Accepting new patients
Pediatric Minds Medical Center Past Accepting new patients
Pediatric Minds Developmental Services, Inc. Past Accepting new patients
Pantea Sharifi Hannauer, M.D. Inc. Neurodevelopmental Disabilities Past Accepting new patients
Torrance Memorial Medical Center Past Accepting new patients
Providence Health System Southern California Past Accepting new patients

Locations

10833 Le Conte Ave
#12311
Los Angeles, CA 90095
Phone (310) 825-9124

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

File 2939
Los Angeles, CA 90074
Phone (310) 794-6596

Interoperability endpoints

  • Direct secure messaging: phannauer37743@direct.uclahealth.org

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362700800000",
    "number": "1205851599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3524 TORRANCE BLVD",
            "address_2": "STE 103",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034821",
            "telephone_number": "310-540-1630",
            "fax_number": "310-543-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3524 TORRANCE BLVD",
            "address_2": "STE 103",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034821",
            "telephone_number": "310-540-1630",
            "fax_number": "310-543-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARIFI",
        "first_name": "PANTEA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2013-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0008X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neurodevelopmental Disabilities",
            "state": "CA",
            "license": "A78624",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "CA",
            "license": "A78624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205851599",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.