Active NPI
Amir A Sheikholeslam, M.D.
- Anesthesiology Physician
- Los Angeles, CA
National Provider Identifier
1215144746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A38664
- Practice address
- 2856 Bottlebrush Dr
Los Angeles, CA 90077-2022 - Phone
- (818) 817-9832
- NPI assigned
- May 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A38664 | CA | Primary |
Addresses
Primary practice location
2856 Bottlebrush Dr
Los Angeles, CA 90077-2022
Mailing address
2856 Bottlebrush Dr
Los Angeles, CA 90077-2022
Phone (818) 817-9832
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A386640 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A38664 | CA | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379980800000",
"number": "1215144746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2856 BOTTLEBRUSH DR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900772022",
"telephone_number": "818-817-9832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2856 BOTTLEBRUSH DR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900772022",
"telephone_number": "818-817-9832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEIKHOLESLAM",
"first_name": "AMIR",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-16",
"last_updated": "2013-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A38664",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A386640",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.