NPIMap

Individual provider Active NPI

Zahi Nassoura, MD

  • Specialist
  • Tarzana, CA
National Provider Identifier
1417995622
Registry record updated Feb 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A62315 Issued in CA
Practice address
18226 Ventura Boulevard
Suite 102
Tarzana, CA 91356-4246
Phone
(818) 345-6126
Fax
(818) 345-5061
NPI assigned
Jun 2, 2006
Last updated
Feb 17, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A62315 CA Primary

Addresses

Primary practice location

18226 Ventura Boulevard
Suite 102
Tarzana, CA 91356-4246

Mailing address

18226 Ventura Boulevard
Suite 102
Tarzana, CA 91356-4246
Phone (818) 345-6126

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051108001080 CA Practitioner - Vascular SurgeryPractitioner - General Surgery 0345268363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

18840 Ventura Blvd
Suite 100a
Tarzana, CA 91356-3301
Phone (818) 345-6126

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
83.82
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal91
Leg revascularization (restoring blood flow)96
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
62315CAMDDentist
A62315CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
San Fernando Valley Vascular Group a Medical Corporation Specialist CurrentSince Jul 1, 1997 Accepting new patients
West Hills Hospital Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Dignity Community Care Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Westside Anesthesia Services Past Accepting new patients
Varicose Vein Solutions, Medical Corporation PastSince Dec 13, 2013 Accepting new patients
Tarzana Medical Center LLC Past Accepting new patients

Locations

2701 W Alameda Ave
Ste 400
Burbank, CA 91505
Phone (818) 842-4821

2701 W Alameda Ave
Ste 607
Burbank, CA 91505
Phone (818) 842-1410

23823 Valencia Blvd
Ste 215
Santa Clarita, CA 91355

18226 Ventura Blvd
Ste 102
Tarzana, CA 91356
Phone (818) 905-5904

18840 Ventura Blvd
Ste 100A
Tarzana, CA 91356

23838 Valencia Blvd
Ste 205
Valencia, CA 91355
Phone (661) 288-2237

23838 Valencia Blvd
Ste 215
Valencia, CA 91355

23101 Sherman Pl
Ste 104
West Hills, CA 91307
Phone (818) 887-8882

23101 Sherman Pl
Ste 302
West Hills, CA 91307
Phone (818) 347-1500

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBCJAA

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329436800000",
    "number": "1417995622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18226 VENTURA BOULEVARD",
            "address_2": "SUITE 102",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564246",
            "telephone_number": "818-345-6126",
            "fax_number": "818-345-5061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18226 VENTURA BOULEVARD",
            "address_2": "SUITE 102",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564246",
            "telephone_number": "818-345-6126",
            "fax_number": "818-345-5061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASSOURA",
        "first_name": "ZAHI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2012-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A62315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.