Sohail S Mahboubian, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

A69412 Issued in CA

Practice address

16133 Ventura Blvd Ste 415
Encino, CA 91436-2429

Phone

(818) 379-9991

Fax

(818) 995-0208

NPI assigned

Jul 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295750164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 260130",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914260130",
            "telephone_number": "818-379-9991",
            "fax_number": "818-995-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16133 VENTURA BLVD STE 415",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362429",
            "telephone_number": "818-379-9991",
            "fax_number": "818-995-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHBOUBIAN",
        "first_name": "SOHAIL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A69412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A694120",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie Madsen, MFT, BCBA
• Wendy Thayx Maeda
• Eliza Magid, MFT
• Annabelle C Maginnis
• Cora Maglaya, PT, ATC, CSCS
• Mahnaz Gozini DDS Inc
• Sheila Mahooti, DDS
• Mahyar Ganjianpour DO a Professional Corporation
• Matthew Mai
• Tina Mai

• Cardiovascular Disease Physician in Encino, CA
• Providers in Encino, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.