Individual provider Active NPI

Amiram Shneiderman, MD

  • Emergency Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1639286917
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
G081005 Issued in CA
Practice address
6606 W 5TH St
Los Angeles, CA 90048-4602
Phone
(310) 435-4806
Fax
(323) 653-6332
NPI assigned
Aug 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X G081005 CA Primary

Addresses

Primary practice location

6606 W 5TH St
Los Angeles, CA 90048-4602

Mailing address

6606 W 5TH St
Los Angeles, CA 90048-4602
Phone (310) 435-4806

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

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
I20041004000396 CA Practitioner - Emergency Medicine 8527027838 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G081005CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince May 10, 2003 Accepting new patients
Permanente Medical Group Inc Emergency Medicine Current Accepting new patients
Victory Emergency Physicians Medical Group Inc Emergency Medicine CurrentSince Jan 1, 2011 Accepting new patients
Pinnacle Emergency Physicians of Bakersfield, a Professional Corp Emergency Medicine Current Accepting new patients
Southern California Permanente Medical Group CurrentSince May 10, 2003 Accepting new patients
Pinnacle Emergency Physicians of Bakersfield, a Professional Corp Emergency Medicine CurrentSince Apr 1, 2013 Accepting new patients
Permanente Medical Group Inc Emergency Medicine CurrentSince Sep 14, 2013 Accepting new patients
Can Emergency Physicians Medical Group, Inc. Emergency Medicine CurrentSince Mar 1, 2023 Accepting new patients
Permanente Medical Group, Inc CurrentSince Sep 14, 2013 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Can Emergency Physicians Medical Group Inc Emergency Medicine CurrentSince Mar 1, 2023 Accepting new patients
County of Los Angeles Past Accepting new patients
Max Franklin Lebow, a Medical Corporation Emergency Medicine Past Accepting new patients

Locations

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

6041 Cadillac Ave
Los Angeles, CA 90034
Phone (323) 857-2000

1225 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 482-2741

4760 W Sunset Blvd
Los Angeles, CA 90027
Phone (323) 783-0567

4733 W Sunset Blvd
Los Angeles, CA 90027
Phone (213) 667-4784

1720 E Cesar E Chavez Ave
#C
Los Angeles, CA 90033
Phone (213) 268-5000

1720 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 260-5781

13652 Cantara St
Panorama City, CA 91402
Phone (818) 375-2417

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

14662 Newport Ave
Tustin, CA 92780
Phone (714) 619-7700

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1639286917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6606 W 5TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484602",
            "telephone_number": "310-435-4806",
            "fax_number": "323-653-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6606 W 5TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484602",
            "telephone_number": "310-435-4806",
            "fax_number": "323-653-6332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHNEIDERMAN",
        "first_name": "AMIRAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G081005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "4760 W Sunset Blvd",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900276063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.