Organization Active NPI

Homayoun Sharim, M.D., Inc.

  • Internal Medicine Physician
  • Beverly Hills, CA
National Provider Identifier
1528094992
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A45456 Issued in CA
Legal business name
HOMAYOUN SHARIM, M.D., INC.
Practice address
9301 Wilshire Blvd
Suite 512
Beverly Hills, CA 90210-5424
Phone
(310) 657-8000
Fax
(310) 276-4795
NPI assigned
Jun 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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

Authorized official

Name
Homayoun Sharim, M.D.NPI 1033145701
Title
Owner
Phone
(310) 657-8000

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A45456 CA Primary

Addresses

Primary practice location

9301 Wilshire Blvd
Suite 512
Beverly Hills, CA 90210-5424

Mailing address

PO Box 16758
Beverly Hills, CA 90209-2758
Phone (310) 657-8000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050216000394 CA Part B Supplier - Clinic/Group Practice 8921050139 Receives reassigned benefits from 1 practitioner
Practice locations: Glendale, CA; Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

9301 Wilshire Blvd
Ste 414
Beverly Hills, CA 90210
Phone (310) 276-4756

6420 Wilshire Blvd
Ste 1060
Los Angeles, CA 90048

1300 S Central Ave
Los Angeles, CA 90021
Phone (818) 247-7447

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1528094992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16758",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902092758",
            "telephone_number": "310-657-8000",
            "fax_number": "310-276-4795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 WILSHIRE BLVD",
            "address_2": "SUITE 512",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105424",
            "telephone_number": "310-657-8000",
            "fax_number": "310-276-4795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMAYOUN SHARIM, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "SHARIM",
        "authorized_official_first_name": "HOMAYOUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-657-8000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A45456",
            "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 Mar 20, 2008; 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.