Individual provider Active NPI

Tasnim Esmail Shamji, M.D.

  • Emergency Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1386815108
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A065915 Issued in CA
Practice address
11977 Dorothy St
Los Angeles, CA 90049-5302
Phone
(310) 826-3248
NPI assigned
Mar 19, 2008
Last updated
Mar 19, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A065915 CA Primary

Addresses

Primary practice location

11977 Dorothy St
Los Angeles, CA 90049-5302

Mailing address

11977 Dorothy St
Los Angeles, CA 90049-5302
Phone (310) 826-3248

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
I20080806000268 CA Practitioner - Emergency Medicine 4789758954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of California, Geffen School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Heart Medical GroupGroup PAC ID 8123202561, 8 clinicians

Practice addresses (Care Compare)

16320 Roscoe Blvd
Suite 100
Van Nuys, CA 91406-1216
Phone (818) 904-6782

Merit-based Incentive Payment System (MIPS)

Final score
90.28 of 100Reported as group
Quality
73.42
Promoting interoperability
98
Improvement activities
40
Cost
65.49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A065915CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Heart Medical Group CurrentSince Mar 5, 2019 Accepting new patients
Valley Presbyterian Emergency Medical Associates Emergency Medicine PastSince Aug 7, 2022 Accepting new patients
Foothill Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

16119 Vanowen St
Van Nuys, CA 91406
Phone (818) 904-6782

16320 Roscoe Blvd
Ste 100
Van Nuys, CA 91406
Phone (818) 904-6712

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205884800000",
    "number": "1386815108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11977 DOROTHY ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900495302",
            "telephone_number": "310-826-3248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11977 DOROTHY ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900495302",
            "telephone_number": "310-826-3248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMJI",
        "first_name": "TASNIM",
        "middle_name": "ESMAIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A065915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.