Shiraz Medical Group, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A78184 Issued in CA

Legal business name

SHIRAZ MEDICAL GROUP, INC

Practice address

16952 Ventura Blvd
Ste 100
Encino, CA 91316-4124

Phone

(818) 789-3964

Fax

(818) 789-3967

NPI assigned

Jun 22, 2005

Organization subpart

No

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

Authorized official

Name

Keyvan Shirazi, M.D.NPI 1023033107

Title

Ceo

Phone

(818) 789-3964

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Shiraz Medical Group, Inc

  • Non-Pharmacy Dispensing Site
  • Encino, CA
  • NPI 1548570054
  NPPES parent name

Practitioners 4

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

• Keyvan Shirazi, M.D.

  • Internal Medicine Physician
  • Encino, CA
  • NPI 1023033107
  Medicare reassignment Care Compare group NPD Authorized official
• Pirooz Eslami, FNP-BC

  • Family Nurse Practitioner
  • Woodland Hills, CA
  • NPI 1437755667
  Medicare reassignment Care Compare group NPD
• Shahrzad Trinbisheh, MPAS

  • Medical Physician Assistant
  • Encino, CA
  • NPI 1659600245
  Medicare reassignment Care Compare group
• Sipora Zarbakhsh, RPA-C

  • Physician Assistant
  • Encino, CA
  • NPI 1053666974
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410393600000",
    "number": "1558367649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16952 VENTURA BLVD",
            "address_2": "STE 100",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164124",
            "telephone_number": "818-789-3964",
            "fax_number": "818-789-3967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16952 VENTURA BLVD",
            "address_2": "STE 100",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164124",
            "telephone_number": "818-789-3964",
            "fax_number": "818-789-3967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRAZ MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2014-09-11",
        "status": "A",
        "authorized_official_last_name": "SHIRAZI",
        "authorized_official_first_name": "KEYVAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-789-3964",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A78184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A781840",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Shiffman, PH.D.
• Michael Shiffman, MD
• Ryan Shilian, DO
• Brian Shin, LMFT
• Shiraz Medical Group, Inc
• Elmira Shirazi
• Keyvan Shirazi, M.D.
• Pejman Eli Shirazy, M.D.
• Shirin Sharifha PHD Clinical Psychologist Inc
• Sophie Shirin

• Internal Medicine Physician in Encino, CA
• Providers in Encino, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; 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.