Payam Shabboui, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

57476 Issued in CA

Practice address

8536 Wilshire Blvd Ste 101
Beverly Hills, CA 90211-3154

Phone

(310) 657-4090

Fax

(310) 657-4790

NPI assigned

Jan 10, 2021

Sex

Male

Sole proprietor

No

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)

Not enrolled

Credentials

Doctor of Pharmacy

Practice roles

Locations

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.

• PRX Pharmacorp

  • Community/Retail Pharmacy
  • Los Angeles, CA
  • NPI 1215164223
  NPD Authorized official

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

{
    "created_epoch": "1610236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610236800000",
    "number": "1215525720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8536 WILSHIRE BLVD STE 101",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113154",
            "telephone_number": "310-657-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8536 WILSHIRE BLVD STE 101",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113154",
            "telephone_number": "310-657-4090",
            "fax_number": "310-657-4790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHABBOUI",
        "first_name": "PAYAM",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-10",
        "last_updated": "2021-01-10",
        "certification_date": "2021-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "57476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "5634729",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neela K Sethi, M.D.
• Karina Sevesind
• Seymour Levine MD a Professional Corporation
• Shahrzad Shazi Shabatian, MS, RDN
• Orly Shabboui, M.A.
• Angela Shadrooz, LMFT
• Brian Soheil Shafa, MD
• Eliza S. Azad Shafa, RDH
• Shervin Shaffiy, M.D.
• Nilomi Nilesh Shah, PHARMD

• Pharmacist in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2021; 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.