Active NPI
Nour Shahab, PA-C
- Physician Assistant
- Pasadena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA55438
- Practice address
- 301 S Fair Oaks Ave Ste 305
Pasadena, CA 91105-2562 - Phone
- (626) 440-7325
- NPI assigned
- Mar 29, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA55438 | CA | Primary |
Addresses
Primary practice location
301 S Fair Oaks Ave Ste 305
Pasadena, CA 91105-2562
Mailing address
541 W Colorado St Ste 205
Glendale, CA 91204-3640
Phone (323) 254-0046
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1245 Wilshire Blvd
Suite 303
Los Angeles, CA 90017-4803
Phone (213) 977-1214
1505 Wilson Ter
Suite 200
Glendale, CA 91206-4073
Phone (818) 409-0105
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55438 | CA | MD | Periodontist |
| PA55438 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Los Angeles Hematology-Oncology Medical Group | Current | Accepting new patients | |
| Los Angeles Hematology-Oncology Medical Group | Current | Accepting new patients |
Locations
1211 W La Palma Ave
Ste 103
Anaheim, CA 92801
Phone (714) 535-3660
260 E Ontario Ave
Ste 101
Corona, CA 92879
Phone (951) 268-7746
11180 Warner Ave
Ste 351
Fountain Vly, CA 92708
Phone (714) 210-2300
1505 Wilson Ter
Ste 200
Glendale, CA 91206
Phone (818) 243-0477
541 W Colorado St
Ste 205
Glendale, CA 91204
Phone (323) 254-0046
1245 Wilshire Blvd
Ste 303
Los Angeles, CA 90017
Phone (213) 977-1214
15211 Vanowen St
Ste 201
Van Nuys, CA 91405
Phone (818) 574-3798
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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 and National Provider Directory roles.
-
- Specialist
- Los Angeles, CA
- NPI 1457409674
-
- Non-Pharmacy Dispensing Site
- Glendale, CA
- NPI 1952516627
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Glendale, CA
- NPI 1831188275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739491200000",
"number": "1659876753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "541 W COLORADO ST STE 205",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912043640",
"telephone_number": "323-254-0046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 S FAIR OAKS AVE STE 305",
"city": "PASADENA",
"state": "CA",
"postal_code": "911052562",
"telephone_number": "626-440-7325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAHAB",
"first_name": "NOUR",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-29",
"last_updated": "2025-02-14",
"certification_date": "2025-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA55438",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; 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.