Individual provider Active NPI

Michael Siamak Shoai, M.D.

  • Cardiovascular Disease Physician
  • Los Angeles, CA
National Provider Identifier
1386088920
Registry record updated Apr 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
CFE37766 Issued in CA
Practice address
16604 Park Lane PL
Los Angeles, CA 90049-1150
Phone
(310) 471-0842
Fax
(310) 471-0842
NPI assigned
Apr 25, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X CFE37766 CA Primary

Addresses

Primary practice location

16604 Park Lane PL
Los Angeles, CA 90049-1150

Mailing address

16604 Park Lane PL
Los Angeles, CA 90049-1150
Phone (310) 471-0842

Other names 1

  • Dr. Michael Siamak Shoai Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CFE37766CAMDCardiovascular Disease Physician

NPI Registry JSON

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

{
    "created_epoch": "1366848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366848000000",
    "number": "1386088920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16604 PARK LANE PL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900491150",
            "telephone_number": "310-471-0842",
            "fax_number": "310-471-0842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16604 PARK LANE PL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900491150",
            "telephone_number": "310-471-0842",
            "fax_number": "310-471-0842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOAI",
        "first_name": "MICHAEL",
        "middle_name": "SIAMAK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-25",
        "last_updated": "2013-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "CFE37766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "SHOAI",
            "middle_name": "SIAMAK",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.