Shahram Kossari, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A68579 Issued in CA

Practice address

14901 Rinaldi St Ste 202
Mission Hills, CA 91345-1254

Phone

(818) 365-1616

Fax

(818) 365-1811

NPI assigned

Jun 13, 2006

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: shahram.kossarimd.p1@direct.plannedparenthoodla.nextgenshare.com

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.

• Center for Family Health and Education Inc

  • Federally Qualified Health Center (FQHC)
  • Panorama City, CA
  • NPI 1871853481
  Medicare reassignment NPD
• Valley Community Wellness Centers, Inc

  • Obstetrics & Gynecology Physician
  • Mission Hills, CA
  • NPI 1518439785
  NPD Authorized official
• Center for Family Health and Education Inc

  • Federally Qualified Health Center (FQHC)
  • Long Beach, CA
  • NPI 1154803674
  NPD
• Center for Family Health and Education Inc

  • Federally Qualified Health Center (FQHC)
  • Van Nuys, CA
  • NPI 1700350659
  NPD
• Center for Family Health and Education Inc

  • Federally Qualified Health Center (FQHC)
  • Mission Hills, CA
  • NPI 1689199648
  NPD (past)
• Deanco Healthcare LLC.

  • Psychiatric Hospital Unit
  • Panorama City, CA
  • NPI 1013061597
  NPD (past)
• Dignity Community Care

  • General Acute Care Hospital
  • Northridge, CA
  • NPI 1417089350
  NPD (past)
• Providence Health System - Southern California

  • General Acute Care Hospital
  • Mission Hills, CA
  • NPI 1477587632
  NPD (past)
• Valley Presbyterian Hospital

  • General Acute Care Hospital
  • Van Nuys, CA
  • NPI 1578529285
  NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1487697132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6609 VAN NUYS BLVD STE 201",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054618",
            "telephone_number": "818-365-1616",
            "fax_number": "818-365-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14901 RINALDI ST STE 202",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451254",
            "telephone_number": "818-365-1616",
            "fax_number": "818-365-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSSARI",
        "first_name": "SHAHRAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A68579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A685790",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Parviz Kohanoff, D.D.S
• Courtney Abbott Kolbe, LCSW
• Mary R Kombazdjian, M.D.
• Rafid J Kouz, MD.
• Silvina Kroetz, RDN
• Archana Kulai, M.D.
• Jennifer Kulesza, PA
• Jasmin Kung, CRNA

• Specialist in Mission Hills, CA
• Providers in Mission Hills, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.