Shahrzad Forat, D.C., FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95016470 Issued in CA

Practice address

8215 Van Nuys Blvd Ste 212
Panorama City, CA 91402-4834

Phone

(818) 925-9692

Fax

(888) 932-2444

NPI assigned

Apr 11, 2012

Sex

Female

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

Enrolled in CA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Access Medical and Nursing Urgent Care Inc

  • Emergency Medical Services (Emergency Medicine) Physician
  • Van Nuys, CA
  • NPI 1396510087
  Medicare reassignment NPD Authorized official
• Forat Medical and Chiropractic Group Inc

  • Chiropractor
  • Van Nuys, CA
  • NPI 1407241979
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1265799522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8215 VAN NUYS BLVD STE 212",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024834",
            "telephone_number": "818-925-9692",
            "fax_number": "888-932-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8215 VAN NUYS BLVD STE 212",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024834",
            "telephone_number": "818-925-9692",
            "fax_number": "888-932-2444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5651 Sepulveda Blvd",
            "address_purpose": "LOCATION",
            "city": "Van Nuys",
            "state": "CA",
            "postal_code": "914112953",
            "country_code": "US",
            "telephone_number": "818-645-8174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORAT",
        "first_name": "SHAHRZAD",
        "credential": "D.C., FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-11",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC21323",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95016470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberto Oswaldo Flores
• Danielle Rodin Flowers, M.D.
• Lance Fogan, MD
• James Lynn Folz, M.D.
• Deborah S. Fong, PHARM. D.
• Alison Danielle Forbes, PHARMD, APH, BCPS
• Sylvia Fowler, MD
• Mark Anthony Franco, L.AC.
• Julio Edwin Frausto-McNeil
• Fredrick Edwin Stuart DDS, Inc.

• Family Nurse Practitioner in Panorama City, CA
• Providers in Panorama City, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.