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

Last updated

Jan 10, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• PRX Pharmacorp

  dba Elevate Pharmacy

  • 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": [],
    "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.