Individual provider Active NPI

Mohammad A Pourshahmir, M.D.

  • Surgery Physician
  • Encino, CA
National Provider Identifier
1437187028
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A78449 Issued in CA
Practice address
5353 Balboa Blvd Ste 201
Encino, CA 91316-2865
Phone
(818) 783-7277
Fax
(818) 783-9607
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A78449 CA Primary

Addresses

Primary practice location

5353 Balboa Blvd Ste 201
Encino, CA 91316-2865

Mailing address

4400 W Riverside Dr # 110-2780
Burbank, CA 91505-4046
Phone (818) 783-7277

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
I20040707001124 CA Practitioner - General Surgery 6002893096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Georgetown University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5353 Balboa Blvd
Suite 201
Encino, CA 91316-2865
Phone (818) 783-7277

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A78449CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
L a Surgery-Colorectal Surgery Inc CurrentSince Dec 1, 2006 Accepting new patients
Loma Linda University Medical Center Past Accepting new patients
Providence Saint John'S Health Center Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Tarzana Medical Center LLC Past Accepting new patients

Locations

4400 W Riverside Dr
Ste 1102780
Burbank, CA 91505

5400 Balboa Blvd
Ste 228
Encino, CA 91316
Phone (818) 783-7277

5353 Balboa Blvd
Ste 201
Encino, CA 91316
Phone (818) 783-7277

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1437187028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 W RIVERSIDE DR # 110-2780",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054046",
            "telephone_number": "818-783-7277",
            "fax_number": "818-783-9607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5353 BALBOA BLVD STE 201",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913162865",
            "telephone_number": "818-783-7277",
            "fax_number": "818-783-9607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POURSHAHMIR",
        "first_name": "MOHAMMAD",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A78449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.