Organization Active NPI

Behzad Soufer DO Apc

  • Family Medicine Physician
  • Sherman Oaks, CA
National Provider Identifier
1245640671
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A12379 Issued in CA
Legal business name
BEHZAD SOUFER DO APC
Practice address
5000 Van Nuys Blvd Ste 201
Sherman Oaks, CA 91403-1717
Phone
(818) 572-1490
Fax
(818) 572-1491
NPI assigned
May 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Behzad Souferzadeh, DONPI 1851694988
Title
DO/Owner
Phone
(818) 572-1490

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 20A12379 CA Primary

Addresses

Primary practice location

5000 Van Nuys Blvd Ste 201
Sherman Oaks, CA 91403-1717

Mailing address

5000 Van Nuys Blvd Ste 201
Sherman Oaks, CA 91403-1717
Phone (818) 572-1490

Other names 1

  • Behzad Soufer, D.O., APC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140702000224 CA Part B Supplier - Clinic/Group Practice 6305061516 Receives reassigned benefits from 6 practitioners
Practice locations: Sherman Oaks, CA

National Provider Directory

National Provider Directory

Locations

4835 Van Nuys Blvd
Ste 109
Sherman Oaks, CA 91403
Phone (818) 784-3615

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1245640671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 VAN NUYS BLVD STE 201",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031717",
            "telephone_number": "818-572-1490",
            "fax_number": "818-572-1491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 VAN NUYS BLVD STE 201",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031717",
            "telephone_number": "818-572-1490",
            "fax_number": "818-572-1491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHZAD SOUFER DO APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-07",
        "last_updated": "2025-09-02",
        "certification_date": "2024-03-01",
        "status": "A",
        "authorized_official_last_name": "SOUFERZADEH",
        "authorized_official_first_name": "BEHZAD",
        "authorized_official_title_or_position": "DO/OWNER",
        "authorized_official_telephone_number": "818-572-1490",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A12379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Behzad Soufer, D.O., APC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.