Organization Active NPI

Shawn Roofian MD Inc

Doing business as Integrated Pain Management

  • Pain Medicine (Anesthesiology) Physician
  • Beverly Hills, CA
National Provider Identifier
1447772561
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
SHAWN ROOFIAN MD INC
Doing business as
Integrated Pain Management
Practice address
8929 Wilshire Blvd Ste 102
Beverly Hills, CA 90211-1950
Phone
(310) 926-4922
Fax
(424) 217-2675
NPI assigned
Jul 11, 2017
Last updated
Jun 26, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Authorized official

Name
Dr. Shawn Roofian, MDNPI 1164654380
Title
President
Phone
(310) 926-4922

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X NU Primary

Addresses

Primary practice location

8929 Wilshire Blvd Ste 102
Beverly Hills, CA 90211-1950

Mailing address

PO Box 3129
Torrance, CA 90510-3129
Phone (310) 792-3914

Other practice location 1

5620 Wilbur Ave Ste 305
Tarzana, CA 91356-1311
Phone (310) 926-4922

Other practice location 2

310 Third Ave Ste B5
Chula Vista, CA 91910-3990
Phone (310) 926-4922

Other practice location 3

8500 Wilshire Blvd Ste 105
Beverly Hills, CA 90211-3110
Phone (310) 926-4922

Other names 1

  • INTEGRATED PAIN MANAGEMENT Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170803002048 CA Part B Supplier - Clinic/Group Practice 1850662289 Receives reassigned benefits from 1 practitioner
Practice locations: Beverly Hills, CA; Tarzana, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561507200000",
    "number": "1447772561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3129",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905103129",
            "telephone_number": "310-792-3914",
            "fax_number": "855-898-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8929 WILSHIRE BLVD STE 102",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111950",
            "telephone_number": "310-926-4922",
            "fax_number": "424-217-2675"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5620 Wilbur Ave Ste 305",
            "address_purpose": "LOCATION",
            "city": "Tarzana",
            "state": "CA",
            "postal_code": "913561311",
            "country_code": "US",
            "telephone_number": "310-926-4922",
            "fax_number": "424-217-2675",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 Third Ave Ste B5",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919103990",
            "country_code": "US",
            "telephone_number": "310-926-4922",
            "fax_number": "424-217-2675",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8500 Wilshire Blvd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902113110",
            "country_code": "US",
            "telephone_number": "310-926-4922",
            "fax_number": "424-217-2675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHAWN ROOFIAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-11",
        "last_updated": "2019-06-26",
        "status": "A",
        "authorized_official_last_name": "ROOFIAN",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-926-4922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INTEGRATED PAIN MANAGEMENT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "INTEGRATED PAIN MANAGEMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.