Active NPI
Albert Shamouelian MD Inc a Professional Corporation
- Endocrinology, Diabetes & Metabolism Physician
- Beverly Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- Legal business name
- ALBERT SHAMOUELIAN MD INC A PROFESSIONAL CORPORATION
- Practice address
- 99 N la Cienega Blvd Ste 107
Beverly Hills, CA 90211-2283 - Phone
- (310) 652-5292
- Fax
- (310) 659-8797
- NPI assigned
- Jul 27, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Albert Shamouelian, MD
- Title
- Owner
- Phone
- (310) 666-3037
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A142699 | CA | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | Primary |
Addresses
Primary practice location
99 N la Cienega Blvd Ste 107
Beverly Hills, CA 90211-2283
Mailing address
9663 Santa Monica Blvd # 165
Beverly Hills, CA 90210-4303
Phone (310) 666-3037
Other practice location 1
8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone (310) 666-3037
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170901003008 | CA | Part B Supplier - Clinic/Group Practice | 4183997711 |
Receives reassigned benefits from 1 practitioner Practice locations: Beverly Hills, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2294331 | Albert Shamouelian, MD | Certificate of waiver | Nov 20, 2027 |
National Provider Directory
National Provider DirectoryLocations
99 N La Cienega Blvd
Ste 107
Beverly Hills, CA 90211
Phone (310) 652-3000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Endocrinology, Diabetes & Metabolism Physician
- Beverly Hills, CA
- NPI 1972921922
CA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501113600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1657843200000",
"number": "1508380965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9663 SANTA MONICA BLVD # 165",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902104303",
"telephone_number": "310-666-3037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 N LA CIENEGA BLVD STE 107",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902112283",
"telephone_number": "310-652-5292",
"fax_number": "310-659-8797"
}
],
"practiceLocations": [
{
"address_1": "8700 Beverly Blvd",
"address_purpose": "LOCATION",
"city": "West Hollywood",
"state": "CA",
"postal_code": "900481804",
"country_code": "US",
"telephone_number": "310-666-3037",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ALBERT SHAMOUELIAN MD INC A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-27",
"last_updated": "2022-07-15",
"certification_date": "2022-07-15",
"status": "A",
"authorized_official_last_name": "SHAMOUELIAN",
"authorized_official_first_name": "ALBERT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "310-666-3037",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "A142699",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.