Individual provider Active NPI

Shahin Ebrahimian, M.D.

  • Anesthesiology Physician
  • Northridge, CA
National Provider Identifier
1609898659
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A88201 Issued in CA
Practice address
18300 Roscoe Blvd
Northridge, CA 91325-4105
Phone
(818) 885-8500
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A88201 CA Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X A88201 CA

Addresses

Primary practice location

18300 Roscoe Blvd
Northridge, CA 91325-4105

Mailing address

PO Box 7001
Tarzana, CA 91357-7001
Phone (818) 888-7815

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20061101000547 CA Practitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Pain Management 6406853530 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A88201CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Anesthesia Group Inc CurrentSince Feb 1, 2022 Accepting new patients
Century Anesthesia Medical Group Anesthesiology CurrentSince Jul 18, 2018 Accepting new patients
Equity Anesthesia Anesthesiology CurrentSince Jul 1, 2023 Accepting new patients
Shahim Ebrahimian, M.D., Inc Anesthesiology CurrentSince Sep 1, 2006 Accepting new patients

Locations

450 N Roxbury Dr
Ste 240
Beverly Hills, CA 90210
Phone (310) 651-2040

8670 Wilshire Blvd
Ste 300
Beverly Hills, CA 90211
Phone (310) 275-1646

150 N Robertson Blvd
Ste 110
Beverly Hills, CA 90211
Phone (310) 424-9507

120 S Spalding Dr
Ste 115
Beverly Hills, CA 90212
Phone (310) 385-7755

9735 Wilshire Blvd
Ste 100
Beverly Hills, CA 90212
Phone (310) 601-3900

450 N Roxbury Dr
Ste 600
Beverly Hills, CA 90210
Phone (310) 651-2050

23621 Park Sorrento
Ste 100
Calabasas, CA 91302
Phone 8182222530102

5353 Balboa Blvd
Ste 300
Encino, CA 91316
Phone (818) 793-2050

16311 Ventura Blvd
Ste 1010
Encino, CA 91436
Phone (818) 789-9988

5 Holland
Ste 101
Irvine, CA 92618
Phone (949) 588-2199

27462 Portola Pkwy
Ste 100
Lake Forest, CA 92610
Phone (949) 280-6497

3711 Long Beach Blvd
Ste 101A
Long Beach, CA 90807
Phone (310) 963-9727

18300 Roscoe Blvd
Northridge, CA 91325
Phone (818) 885-5331

1801 W Olympic Blvd
#2100
Pasadena, CA 91199

18133 Ventura Blvd
Ste 400
Tarzana, CA 91356
Phone (818) 462-0280

16311 Ventura Blvd
Ste 580
Van Nuys, CA 91436
Phone (213) 245-1325

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438646400000",
    "number": "1609898659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7001",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913577001",
            "telephone_number": "818-888-7815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18300 ROSCOE BLVD",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254105",
            "telephone_number": "818-885-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBRAHIMIAN",
        "first_name": "SHAHIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2015-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A88201",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A88201",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

Verify at the official NPI Registry.