Active NPI
Bassem Merit Shoucri, MD
- Pediatric Endocrinology Physician
- Los Angeles, CA
National Provider Identifier
1639705528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Endocrinology Physician
- License
- A186308
- Practice address
- 200 UCLA Medical PLZ Ste 265
Los Angeles, CA 90095-8344 - Phone
- (310) 825-0867
- NPI assigned
- Mar 23, 2020
- Last updated
- Jul 16, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A186308 | CA | |
| Pediatrics Physician | 208000000X | PTL3720 | CA | |
| Pediatric Endocrinology Physician | 2080P0205X | A186308 | CA | Primary |
Addresses
Primary practice location
200 UCLA Medical PLZ Ste 265
Los Angeles, CA 90095-8344
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Other practice location 1
1260 15th St Ste 1024
Santa Monica, CA 90404-1145
Phone (424) 259-8570
Other practice location 2
10833 Le Conte Ave
MDCC 22-315
Los Angeles, CA 90095-3075
Phone (310) 825-6244
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PTL3720 | Other | CA | CA STATE MEDICAL LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bshoucri@mednet.ucla.edu |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230404003067 | CA | Order and Referring Only - Pediatric Medicine | 6204201296 |
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- University of California, Irvine, California College of Medicine, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5767 W Century Blvd
Suite 400
Los Angeles, CA 90045-5631
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTL3720 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784160000000",
"number": "1639705528",
"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": "200 UCLA MEDICAL PLZ STE 265",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900958344",
"telephone_number": "310-825-0867"
}
],
"practiceLocations": [
{
"address_1": "1260 15th St Ste 1024",
"address_purpose": "LOCATION",
"city": "Santa Monica",
"state": "CA",
"postal_code": "904041145",
"country_code": "US",
"telephone_number": "424-259-8570",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10833 Le Conte Ave",
"address_2": "MDCC 22-315",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900953075",
"country_code": "US",
"telephone_number": "310-825-6244",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHOUCRI",
"first_name": "BASSEM",
"middle_name": "MERIT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-23",
"last_updated": "2026-07-16",
"certification_date": "2026-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A186308",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "PTL3720",
"primary": false
},
{
"code": "2080P0205X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Endocrinology",
"state": "CA",
"license": "A186308",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA STATE MEDICAL LICENSE",
"identifier": "PTL3720",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bshoucri@mednet.ucla.edu",
"affiliation": "N",
"endpointDescription": "Secure Email",
"address_1": "10833 Le Conte Ave",
"address_2": "MDCC 22-315",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900953075",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.