Shala Motamed, P.T.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PT14153 Issued in CA

Practice address

20969 Ventura Blvd
23
Woodland Hills, CA 91364-2305

Phone

(818) 992-5252

Fax

(818) 992-5292

NPI assigned

Mar 30, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Encino Open MRI Inc

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Encino, CA
  • NPI 1104073659
  NPD (past)

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

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269907200000",
    "number": "1215252598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20969 VENTURA BLVD",
            "address_2": "23",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642305",
            "telephone_number": "818-992-5252",
            "fax_number": "818-992-5292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20969 VENTURA BLVD",
            "address_2": "23",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642305",
            "telephone_number": "818-992-5252",
            "fax_number": "818-992-5292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTAMED",
        "first_name": "SHALA",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-30",
        "last_updated": "2010-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "PT14153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "PT14153",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert A. Moss, MD
• Victoria Moss
• Mostafa Mirzabagi DDS Ms Inc.
• Yvonne Elizabeth Mota Calderon
• Gabriella Mota
• Mother Mia Home Health, Inc
• Mother Mia Hospice, Inc
• Motion Picture and Television Fund
• Motion Picture and Television Fund
• Motion Picture and Television Fund (Motion Picture and Television Fund Laboratory)

• Physical Medicine & Rehabilitation Physician in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.