Shane Sheibani, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

A056075 Issued in CA

Practice address

6200 Wilshire Blvd Ste 1702
Los Angeles, CA 90048-5818

Phone

(323) 456-2600

Fax

(323) 456-0160

NPI assigned

Oct 19, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Shahram Shane Sheibani-Rad Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Advanced Healthcare Institute

  • Ambulatory Surgical Clinic/Center
  • Los Angeles, CA
  • NPI 1851572093
  NPD (past) Authorized official
• Elite Multispecialty Medical Group Inc

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1902036742
  NPD (past) Authorized official

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192752000000",
    "number": "1285823757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 WILSHIRE BLVD STE 1702",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485818",
            "telephone_number": "323-456-2600",
            "fax_number": "323-456-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 WILSHIRE BLVD STE 1702",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485818",
            "telephone_number": "323-456-2600",
            "fax_number": "323-456-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEIBANI",
        "first_name": "SHANE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-19",
        "last_updated": "2007-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A056075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAHRAM",
            "last_name": "SHEIBANI-RAD",
            "middle_name": "SHANE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Myriam Shehata
• Anna Shehatta, MA
• Malek Iraj Sheibani, M.D.
• Nazanin Sheibani, MD
• Sarah Sheibani, M.D.
• Nasim Sheikh-Bahaei, MD
• Hanin Sheikh, MD
• Javed Sheikh, M.D.
• Minnah Sheikh
• Mohd Raashid Ali Sheikh, M.D.

• Plastic Surgery Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.