Individual provider Active NPI

Joseph Shahryar

  • Physician Assistant
  • Westlake Village, CA
National Provider Identifier
1619855863
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA67074 Issued in CA
Practice address
30870 Russell Ranch Rd Ste 330
Westlake Village, CA 91362-7372
Phone
(805) 497-7015
NPI assigned
Aug 25, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA67074 CA Primary

Addresses

Primary practice location

30870 Russell Ranch Rd Ste 330
Westlake Village, CA 91362-7372

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260224003572 CA Practitioner - Physician Assistant 9335620764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6815 Noble Ave
Van Nuys, CA 91405-3796
Phone (818) 901-6600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA67074CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California CurrentSince Apr 1, 2026 Accepting new patients
Regents of the University of California CurrentSince Apr 1, 2026 Accepting new patients

Locations

5201 Truxtun Ave
Bakersfield, CA 93309
Phone (661) 328-5565

100 UCLA Medical Plz
Ste 460
Los Angeles, CA 90024
Phone (310) 443-8999

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

2655 1st St
Ste 300
Simi Valley, CA 93065
Phone (805) 578-8550

6815 Noble Ave
Van Nuys, CA 91405
Phone (818) 901-6690

30870 Russell Ranch Rd
Ste 330
Westlake Village, CA 91362
Phone (805) 497-7015

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1756080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1619855863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30870 RUSSELL RANCH RD STE 330",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913627372",
            "telephone_number": "805-497-7015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHRYAR",
        "first_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-25",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA67074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

Verify at the official NPI Registry.