Individual provider Active NPI

Michael Aurash Zadeh, M.D.

  • Surgery Physician
  • Sherman Oaks, CA
National Provider Identifier
1467673699
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A99098 Issued in CA
Practice address
14658 Ventura Blvd
Sherman Oaks, CA 91403-3618
Phone
(818) 789-1111
Fax
(818) 789-1116
NPI assigned
May 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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 A99098 CA Primary

Addresses

Primary practice location

14658 Ventura Blvd
Sherman Oaks, CA 91403-3618

Mailing address

14658 Ventura Blvd
Sherman Oaks, CA 91403-3618
Phone (818) 789-1111

Other identifiers 1

IdentifierTypeStateIssuer
22-149 4440OtherNJSBMC EMPLOYER ID

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
I20100511000003 CA Practitioner - General Surgery 6800924945 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thomas J Lomis M D Inc a Professional CorporationGroup PAC ID 9739145806, 12 clinicians

Practice addresses (Care Compare)

14658 A Ventura Blvd
Sherman Oaks, CA 91403-3618
Phone (818) 789-1111

15211 Vanowen St
Suite 208
Van Nuys, CA 91405-3623
Phone (818) 782-3255

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas J Lomis, MD, Inc. a Professional Corporation CurrentSince Jun 24, 2017 Accepting new patients
Zadeh Surgical Inc Surgery CurrentSince Oct 3, 2009 Accepting new patients
Z Medical Spa Surgery Current Accepting new patients
Tarzana Medical Center LLC Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Valley Presbyterian Hospital Past Accepting new patients
Misra Medical Corp PastSince Nov 1, 2022 Accepting new patients

Locations

16542 Ventura Blvd
Ste 304
Encino, CA 91436
Phone (818) 292-7121

14658A Ventura Blvd
Sherman Oaks, CA 91403
Phone (818) 292-7121

14658 Ventura Blvd
Sherman Oaks, CA 91403
Phone (818) 789-1111

15211 Vanowen St
Ste 208
Van Nuys, CA 91405
Phone (818) 343-0705

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1467673699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14658 VENTURA BLVD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033618",
            "telephone_number": "818-789-1111",
            "fax_number": "818-789-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14658 VENTURA BLVD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033618",
            "telephone_number": "818-789-1111",
            "fax_number": "818-789-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZADEH",
        "first_name": "MICHAEL",
        "middle_name": "AURASH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A99098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SBMC EMPLOYER ID",
            "identifier": "22-149 4440",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.