Individual provider Active NPI

Abul H Shirazi, M.D.

  • Psychiatry Physician
  • Northridge, CA
National Provider Identifier
1205903242
Registry record updated Jan 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A44072 Issued in CA
Practice address
9849 Melvin Ave
Northridge, CA 91324-1636
Phone
(818) 372-0656
Fax
(818) 709-6358
NPI assigned
Nov 28, 2006
Last updated
Jan 20, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A44072 CA Primary

Addresses

Primary practice location

9849 Melvin Ave
Northridge, CA 91324-1636

Mailing address

9849 Melvin Avenue
Northridge, CA 91324-1636
Phone (818) 372-0656

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
I20080317000331 CA Practitioner - Psychiatry 5698850527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9849 Melvin Ave
Northridge, CA 91324-1636
Phone (818) 372-0656

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.5 of 100Reported as individual
Quality
45
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A44072CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Abul H. Shirazi, MD, Inc. Psychiatry CurrentSince Jan 1, 2007 Accepting new patients

Organizations & group practices 1

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 2

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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263945600000",
    "number": "1205903242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9849 MELVIN AVENUE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913241636",
            "telephone_number": "818-372-0656",
            "fax_number": "818-709-6358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9849 MELVIN AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913241636",
            "telephone_number": "818-372-0656",
            "fax_number": "818-709-6358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRAZI",
        "first_name": "ABUL",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2010-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A44072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

Verify at the official NPI Registry.