Individual provider Active NPI

Shawn Sedgh, MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • Beverly Hills, CA
National Provider Identifier
1659935062
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
A177226 Issued in CA
Practice address
8530 Wilshire Blvd Ste 250
Beverly Hills, CA 90211-3113
Phone
(310) 933-4590
Fax
(310) 526-3452
NPI assigned
May 1, 2019
Last updated
Mar 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X A177226 CA Primary

Addresses

Primary practice location

8530 Wilshire Blvd Ste 250
Beverly Hills, CA 90211-3113

Mailing address

8530 Wilshire Blvd Ste 250
Beverly Hills, CA 90211-3113
Phone (310) 824-3674

Other practice location 1

11234 Anderson Street
Loma Linda University Health- Pediatrics
Loma Linda, CA 92354-2804
Phone (909) 558-4174

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
I20250829002834 CA Practitioner - Neurology 9436650538 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Jefferson Medical College of Thomas Jefferson University, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neurological Institute of Los AngelesGroup PAC ID 3375881634, 5 clinicians

Practice addresses (Care Compare)

6363 Wilshire Blvd
Suite 516
Los Angeles, CA 90048-5726
Phone (310) 933-4590

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A177226CAMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurological Institute of Los Angeles CurrentSince Jul 15, 2025 Accepting new patients
Neurology Associates of Southern California PC CurrentSince Sep 3, 2025 Accepting new patients
San Marcos Medical Group Inc. Past Accepting new patients
San Marcos Medical Group Inc. Past Accepting new patients

Locations

8530 Wilshire Blvd
Ste 250
Beverly Hills, CA 90211
Phone (310) 550-6728

8530 Wilshire Blvd
Ste 420
Beverly Hills, CA 90211
Phone (310) 295-0450

6363 Wilshire Blvd
Ste 516
Los Angeles, CA 90048
Phone (310) 933-4590

7721 Pacific Blvd
Walnut Park, CA 90255
Phone (310) 295-0450

Organizations & group practices 4

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": "1556668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1659935062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8530 WILSHIRE BLVD STE 250",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113113",
            "telephone_number": "310-824-3674",
            "fax_number": "888-642-9441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8530 WILSHIRE BLVD STE 250",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113113",
            "telephone_number": "310-933-4590",
            "fax_number": "310-526-3452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11234 Anderson Street",
            "address_2": "Loma Linda University Health- Pediatrics",
            "address_purpose": "LOCATION",
            "city": "Loma Linda",
            "state": "CA",
            "postal_code": "923542804",
            "country_code": "US",
            "telephone_number": "909-558-4174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEDGH",
        "first_name": "SHAWN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-01",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "CA",
            "license": "A177226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.