Shahram Danaei-Boroumand

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

AT6533 Issued in CA

Practice address

146 South Blvd
San Mateo, CA 94402-2462

Phone

(650) 638-1988

Fax

(650) 638-0788

NPI assigned

Apr 27, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Body Balance and Beyond Inc

  • Physical Therapy Clinic/Center
  • San Mateo, CA
  • NPI 1902077753
  NPD (past)

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365033600000",
    "number": "1235359522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 SOUTH BLVD",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022462",
            "telephone_number": "650-638-1988",
            "fax_number": "650-638-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 SOUTH BLVD",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022462",
            "telephone_number": "650-638-1988",
            "fax_number": "650-638-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANAEI-BOROUMAND",
        "first_name": "SHAHRAM",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-27",
        "last_updated": "2013-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "AT6533",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• D. Kundra D.D.S. Inc (Blue Rock Dental)
• D.Wong, DDS, Dental Corporation
• Shelby Lynn Dahring
• Grace Dailey
• Nicole Marie Daly, LCSW
• Milaun Danclar
• Daniel Taw, DMD, & Phuong Tran, DMD, Apdc (San Mateo Dental Care)
• Erin Daniel
• Wendy Carolina Daniels, LCSW
• Amy Sawyer Daniher, M.D.

• Physical Therapy Assistant in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; 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.