Individual provider Active NPI

Ahad Shiraz

  • Family Medicine Physician
  • Manhattan Beach, CA
National Provider Identifier
1356683932
Registry record updated Dec 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A139517 Issued in CA
Practice address
855 Manhattan Beach Blvd Ste 201
Manhattan Beach, CA 90266-4965
Phone
(310) 939-7847
Fax
(310) 939-7878
NPI assigned
Mar 21, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A139517 CA Primary

Addresses

Primary practice location

855 Manhattan Beach Blvd Ste 201
Manhattan Beach, CA 90266-4965

Mailing address

23326 Hawthorne Blvd Ste 200
Torrance, CA 90505-3756
Phone (310) 257-7298

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
I20170830004047 CA Practitioner - Family Practice 9830477041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Torrance Health Association IncGroup PAC ID 1355302134, 298 clinicians

Practice addresses (Care Compare)

855 Manhattan Beach Blvd
Suite 201
Manhattan Beach, CA 90266-4965
Phone (310) 939-7847

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A139517CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Torrance Memorial Medical Center Current Accepting new patients
Torrance Health Association Inc Family Medicine CurrentSince Sep 1, 2017 Accepting new patients
Torrance Memorial Medical Center Past Accepting new patients

Locations

855 Manhattan Beach Blvd
Ste 201
Manhattan Beach, CA 90266
Phone (310) 939-7847

514 N Prospect Ave
Fl 4
Redondo Beach, CA 90277
Phone (310) 750-3300

23326 Hawthorne Blvd
Ste 200
Torrance, CA 90505
Phone (310) 257-7205

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ahad.shiraz@direct.tmmc.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1363824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513728000000",
    "number": "1356683932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23326 HAWTHORNE BLVD STE 200",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053756",
            "telephone_number": "310-257-7298",
            "fax_number": "310-257-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 MANHATTAN BEACH BLVD STE 201",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902664965",
            "telephone_number": "310-939-7847",
            "fax_number": "310-939-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRAZ",
        "first_name": "AHAD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-21",
        "last_updated": "2017-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A139517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan Beach, CA

Sources for this page

Verify at the official NPI Registry.