Individual provider Active NPI

Ali Javod Sheikhizadeh, MD

  • Pediatrics Physician
  • Los Angeles, CA
National Provider Identifier
1245599687
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A122793 Issued in CA
Practice address
4700 W Sunset Blvd
4TH Floor
Los Angeles, CA 90027-6082
Phone
(360) 888-7552
NPI assigned
May 4, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Critical Care Medicine Physician 2080P0203X 21107 NV
Pediatrics Physician 208000000X A122793 CA Primary

Addresses

Primary practice location

4700 W Sunset Blvd
4TH Floor
Los Angeles, CA 90027-6082

Mailing address

531 Esplanade
211
Redondo Beach, CA 90277-4058
Phone (360) 888-7552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220304001170 NV Practitioner - Pediatric Medicine 1951627751 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A122793CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pokroy Medical Group of Nevada, LTD. Pediatrics CurrentSince Nov 20, 2021 Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients

Locations

File 50978
Los Angeles, CA 90074

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

9300 W Sunset Rd
Las Vegas, NV 89148
Phone (702) 880-2100

3100 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 225-5025

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1336089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1245599687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 ESPLANADE",
            "address_2": "211",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902774058",
            "telephone_number": "360-888-7552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 W SUNSET BLVD",
            "address_2": "4TH FLOOR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276082",
            "telephone_number": "360-888-7552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEIKHIZADEH",
        "first_name": "ALI",
        "middle_name": "JAVOD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-04",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "NV",
            "license": "21107",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A122793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.