Individual provider Active NPI

Shahin Delkhah, M.D.

  • Internal Medicine Physician
  • Reseda, CA
National Provider Identifier
1265477749
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A94156 Issued in CA
Practice address
18855 Victory Blvd
Attn Billing Department
Reseda, CA 91335-6445
Phone
(818) 774-3354
NPI assigned
Jun 18, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A94156 CA Primary

Addresses

Primary practice location

18855 Victory Blvd
Attn Billing Department
Reseda, CA 91335-6445

Mailing address

824 S Wooster St
#308
Los Angeles, CA 90035-1753

Other identifiers 3

IdentifierTypeStateIssuer
A94156OtherCASTATE LICENSE #
P00421946OtherCARAILROAD MEDICARE
WA94156COtherCAPPIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20060728000397 CA Practitioner - Internal Medicine 5698788156 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18356 Clark St
Suite 101
Tarzana, CA 91356-3502
Phone (818) 978-7888

18399 Ventura Blvd
Suite 245
Tarzana, CA 91356-6403
Phone (818) 609-7536

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A94156CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tarzana Hospitalist Medical Corporation CurrentSince Jul 1, 2010 Accepting new patients
Evolve Concierge Internal Medicine CurrentSince Oct 6, 2021 Accepting new patients
Jha Geriatric Services, Inc CurrentSince Feb 22, 2006 Accepting new patients
Jha Geriatric Services, Inc CurrentSince Feb 22, 2006 Accepting new patients

Locations

18855 Victory Blvd
Reseda, CA 91335
Phone (818) 774-3000

7150 Tampa Ave
Reseda, CA 91335
Phone (818) 757-4447

18356 Clark St
Ste 101
Tarzana, CA 91356
Phone (818) 609-1991

18399 Ventura Blvd
Tarzana, CA 91356
Phone (818) 757-3200

18399 Ventura Blvd
Ste 245
Tarzana, CA 91356
Phone (818) 609-7536

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25369/brand/1/csg/1/fhir/r4
  • Direct secure messaging: shahin.delkhah@525242744373252.direct.elationemr.com

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1265477749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 S WOOSTER ST",
            "address_2": "#308",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18855 VICTORY BLVD",
            "address_2": "ATTN BILLING DEPARTMENT",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913356445",
            "telephone_number": "818-774-3354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELKHAH",
        "first_name": "SHAHIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A94156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "A94156",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00421946",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPIN",
            "identifier": "WA94156C",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reseda, CA

Sources for this page

Verify at the official NPI Registry.