Bob Babak Shafa, MD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

A83576 Issued in CA

Practice address

300 Medical PLZ
Suite 200
Los Angeles, CA 90095-0001

Phone

(310) 825-2111

NPI assigned

Apr 5, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Neurosurgery

Education

Perelman School of Med at the University of Pennsylvania, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Dr Kamran Parsa IncGroup PAC ID 4880909308, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Palmdale Regional Medical Center Hospital, Palmdale, CA, CCN 050204

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Dr Kamran Parsa Inc

  dba NeuroSpine Institute

  • Neurological Surgery Physician
  • Palmdale, CA
  • NPI 1780066373
  Medicare reassignment Care Compare group NPD
• County of Los Angeles

  dba County of Los Angeles Harbor UCLA Medical Center

  • General Acute Care Hospital
  • Torrance, CA
  • NPI 1851363188
  Medicare reassignment
• Disc Surgery Center at Tarzana, LLC

  • Ambulatory Surgical Clinic/Center
  • Tarzana, CA
  • NPI 1174315154
  NPD (past)
• Skyline Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Valencia, CA
  • NPI 1366140881
  NPD (past)
• Trias Global, LLC

  • Orthopaedic Surgery of the Spine Physician
  • Newport Beach, CA
  • NPI 1518433457
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lancaster Hospital Corporation

  dba Palmdale Regional Medical Center

  • General Acute Care Hospital
  • Palmdale, CA
  • NPI 1508856535
  Care Compare affiliation

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

{
    "created_epoch": "1175731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423008000000",
    "number": "1477675890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD",
            "address_2": "SUITE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631",
            "telephone_number": "310-825-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MEDICAL PLZ",
            "address_2": "SUITE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900950001",
            "telephone_number": "310-825-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFA",
        "first_name": "BOB",
        "middle_name": "BABAK",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-05",
        "last_updated": "2015-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A83576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A835760",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aida Shadrav, DMD
• Sonya Shadravan
• Doris Shadrooz, PT
• Sydney Rae Shaevel, MFT
• Shafa Physical Therapy, Sport Injury and Rehabilitation Center, Inc.
• Farhad Shafa, DDS
• Mark Mahbod Shafa, MD
• Shadi Shafagh
• Neda Shafaghi, M.D.
• Judy Eileen Shafer

• Neurological Surgery Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Neurological Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.