Organization Active NPI

Platinumcare la

  • Internal Medicine Physician
  • West Hollywood, CA
National Provider Identifier
1609190602
Registry record updated Oct 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PLATINUMCARE LA
Practice address
8733 Beverly Blvd
Suite 408
West Hollywood, CA 90048-1827
Phone
(310) 295-2255
Fax
(310) 657-4950
NPI assigned
Mar 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2010

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

Authorized official

Name
Dr. Shamim Shakibai, M.D.
Title
President
Phone
(310) 295-2255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X CA Primary

Addresses

Primary practice location

8733 Beverly Blvd
Suite 408
West Hollywood, CA 90048-1827

Mailing address

8733 Beverly Blvd
Suite 408
West Hollywood, CA 90048-1827
Phone (310) 295-2255

National Provider Directory

National Provider Directory

Locations

6801 Park Ter
Ste 330
Los Angeles, CA 90045
Phone (310) 295-2255

8733 Beverly Blvd
Ste 408
West Hollywood, CA 90048
Phone (310) 295-2255

Practitioners & affiliated clinicians

Practitioners 4

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": "1268956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288137600000",
    "number": "1609190602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8733 BEVERLY BLVD",
            "address_2": "SUITE 408",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481827",
            "telephone_number": "310-295-2255",
            "fax_number": "310-657-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8733 BEVERLY BLVD",
            "address_2": "SUITE 408",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481827",
            "telephone_number": "310-295-2255",
            "fax_number": "310-657-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUMCARE LA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-19",
        "last_updated": "2010-10-27",
        "status": "A",
        "authorized_official_last_name": "SHAKIBAI",
        "authorized_official_first_name": "SHAMIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-295-2255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.