Individual provider Active NPI

Daniel Mayer Pourshalimi, MD

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1215295662
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A128413 Issued in CA
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
A128413OtherCASTATE LICENSE
2459350MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150811005808 CA Practitioner - Internal Medicine 3375858996 Reassigns benefits to 1 organization
I20171206000390 LA Practitioner - Internal Medicine 3375858996 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
A128413CAMDInternal Medicine Physician
307532LAMDInternal Medicine Physician
298144NYMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California CurrentSince Jan 1, 2021 Accepting new patients
Marillac Community Health Centers Multi-Specialty CurrentSince Jan 28, 2019 Accepting new patients
Marillac Community Health Centers CurrentSince Jan 28, 2019 Accepting new patients
Regents of the University of California Multi-Specialty CurrentSince Jan 1, 2021 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

  • Direct secure messaging: dpourshalimi416477@direct.uclahealth.org
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: 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.

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": "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

Verify at the official NPI Registry.