Active NPI
Daniel Mayer Pourshalimi, MD
- Internal Medicine Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A128413
- Practice address
- 1950 Sawtelle Blvd Ste 130
Los Angeles, CA 90025-7072 - Phone
- (310) 996-9355
- NPI assigned
- Apr 23, 2012
- Last updated
- Mar 7, 2023
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 307532 | LA | |
| Internal Medicine Physician | 207R00000X | 298144 | NY | |
| Hospitalist Physician | 208M00000X | 298144 | NY | |
| Internal Medicine Physician | 207R00000X | A128413 | CA | Primary |
Addresses
Primary practice location
1950 Sawtelle Blvd Ste 130
Los Angeles, CA 90025-7072
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Other practice location 1
3700 Saint Charles Ave Fl 4
New Orleans, LA 70115-4637
Phone (504) 897-7007
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A128413 | Other | CA | STATE LICENSE |
| 2459350 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of California, Davis School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1000 Flower St
Glendale, CA 91201-3007
Phone (818) 659-5000
1950 Sawtelle Blvd
Suite 130
Los Angeles, CA 90025-7072
Phone (310) 996-9355
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A128413 | CA | MD | Internal Medicine Physician |
| 307532 | LA | MD | Internal Medicine Physician |
| 298144 | NY | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California | Current | Accepting new patients | |
| Marillac Community Health Centers | Multi-Specialty | Current | Accepting new patients |
| Marillac Community Health Centers | Current | Accepting new patients | |
| Regents of the University of California | Multi-Specialty | Current | Accepting new patients |
| UCLA Medical Group | Multi-Specialty | Past | Accepting new patients |
| The New York and Presbyterian Hospital | Past | Accepting new patients |
Locations
1000 Flower St
Glendale, CA 91201
Phone (818) 659-5000
11303 W Washington Blvd
#100
Los Angeles, CA 90066
Phone (310) 391-7281
1950 Sawtelle Blvd
Ste 130
Los Angeles, CA 90025
Phone (310) 996-9355
5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200
File 59755
Los Angeles, CA 90074
2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381
3201 S Carrollton Ave
New Orleans, LA 70118
Phone (504) 482-2080
Interoperability endpoints
- dpourshalimi416477@direct.uclahealth.org
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 6
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.
-
dba UCLA Entertainment Ind MedGrp
- Internal Medicine Physician
- Glendale, CA
- NPI 1891110888
Multi-Specialty
-
dba Daughters of Charity Health Center - Metairie
- Primary Care Clinic/Center
- Metairie, LA
- NPI 1396059796
Multi-Specialty
-
dba UCLA Entertainment Ind Medgrp
- Durable Medical Equipment & Medical Supplies
- Woodland Hills, CA
- NPI 1083063127
-
dba DePaul Community Health Centers - Hammond
- Federally Qualified Health Center (FQHC)
- Hammond, LA
- NPI 1578442505
-
dba New York-Presbyterian Hospital
- General Acute Care Hospital
- New York, NY
- NPI 1952332801
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Santa MonicaUCLAMC and Orthopedic Hospital
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1427055839
-
dba Ronald Reagan UCLA Medical Center
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1902803315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1215295662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1950 SAWTELLE BLVD STE 130",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900257072",
"telephone_number": "310-996-9355"
}
],
"practiceLocations": [
{
"address_1": "3700 Saint Charles Ave Fl 4",
"address_purpose": "LOCATION",
"city": "New Orleans",
"state": "LA",
"postal_code": "701154637",
"country_code": "US",
"telephone_number": "504-897-7007",
"fax_number": "504-897-7789",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POURSHALIMI",
"first_name": "DANIEL",
"middle_name": "MAYER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-23",
"last_updated": "2023-03-07",
"certification_date": "2021-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "LA",
"license": "307532",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "298144",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NY",
"license": "298144",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A128413",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "A128413",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2459350",
"state": "LA"
}
],
"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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.