Shawn Nasseri, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

A71218 Issued in CA

Practice address

435 N Bedford Dr
Suite 203
Beverly Hills, CA 90210-4321

Phone

(310) 289-8200

Fax

(310) 289-8205

NPI assigned

Apr 19, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Shawn S. Nasseri Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 10, 2017 through Jul 10, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Nasseri Surgery Institute

  • Ambulatory Surgical Clinic/Center
  • Beverly Hills, CA
  • NPI 1851270334
  NPD (past) Authorized official
• Beverly Hills Advanced Surgery Institute

  • Ambulatory Surgical Clinic/Center
  • Beverly Hills, CA
  • NPI 1245326974
  NPD (past)
• Joseph H. Sugerman, M.D., Inc.

  • Otolaryngology Physician
  • Beverly Hills, CA
  • NPI 1073665980
  NPD (past)

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629295845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9663 SANTA MONICA BLVD # 788",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104303",
            "telephone_number": "310-729-3116",
            "fax_number": "310-289-8205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 N BEDFORD DR",
            "address_2": "SUITE 203",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104321",
            "telephone_number": "310-289-8200",
            "fax_number": "310-289-8205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASSERI",
        "first_name": "SHAWN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A71218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAWN",
            "last_name": "NASSERI",
            "middle_name": "S.",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Narek Ohanian DDS Dental Corporation
• Akhila Narla, MD
• Diana Nassar, MD
• Nasseri Surgery Institute
• Bita Hafezizadeh Nasseri, M.D.
• Rahmat Nassi, DDS
• Sheila Nassi
• Kayla Nassib
• Paul S Nassif, M.D.
• Afshin Yousef Nassir, PHARM.D.

• Otolaryngology Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Otolaryngology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.