Ana Shahnematollahi, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

17334 Issued in CA

Practice address

14624 Sherman Way
Suite 603
Van Nuys, CA 91405-2241

Phone

(818) 994-0616

NPI assigned

Jan 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Physician Assistant

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Health and Wellness CenterGroup PAC ID 3870625734, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Family Health & Wellness Center

  • Family Medicine Physician
  • Northridge, CA
  • NPI 1437474657
  Care Compare group

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386701498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17350 W SUNSET BLVD.",
            "address_2": "UNIT 101C",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902724103",
            "telephone_number": "310-266-1343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14624 SHERMAN WAY",
            "address_2": "SUITE 603",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052241",
            "telephone_number": "818-994-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHNEMATOLLAHI",
        "first_name": "ANA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "17334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Purnima Shah, M.D.
• Swara Shah
• Azaria Shahbazian
• Nanoor Shahin, MA, BCBA
• Kristine Satenik Shahinyan
• Aisha Shaikh, PSY.D
• Roman M Shain
• Shamayim Home Health Inc.
• Aaron Shamburger, LVN
• Munaf A Shamji, M.D. FACC

• Medical Physician Assistant in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Medical Physician Assistant 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.