Active NPI
Ramin Shamtob, M.D.
- Interventional Pain Medicine Physician
- Encino, CA
National Provider Identifier
1699741389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- G75153
- Practice address
- 16550 Ventura Blvd Ste 401
Encino, CA 91436-5058 - Phone
- (818) 307-6508
- NPI assigned
- Feb 23, 2006
- Last updated
- Aug 11, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | G75153 | CA | Primary |
Addresses
Primary practice location
16550 Ventura Blvd Ste 401
Encino, CA 91436-5058
Mailing address
16550 Ventura Blvd Ste 401
Encino, CA 91436-5058
Phone (818) 646-0149
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G751530 | Medicaid | CA | |
| 00G751530 | Other | CA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Vincent Anesthesia Medical Group, Inc. | Anesthesiology | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ambulatory Surgical Clinic/Center
- Encino, CA
- NPI 1194378471
-
- Anesthesiology Physician
- Los Angeles, CA
- NPI 1164535571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565481600000",
"number": "1699741389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16550 VENTURA BLVD STE 401",
"city": "ENCINO",
"state": "CA",
"postal_code": "914365058",
"telephone_number": "818-646-0149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16550 VENTURA BLVD STE 401",
"city": "ENCINO",
"state": "CA",
"postal_code": "914365058",
"telephone_number": "818-307-6508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAMTOB",
"first_name": "RAMIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-23",
"last_updated": "2019-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "CA",
"license": "G75153",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G751530",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00G751530",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.