Organization Active NPI

Shirzad a. Abrams, M.D., Inc.

  • Preferred Provider Organization
  • Encino, CA
National Provider Identifier
1699796813
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
A30870 Issued in CA
Legal business name
SHIRZAD A. ABRAMS, M.D., INC.
Practice address
16311 Ventura Blvd
Suite 1150
Encino, CA 91436-2124
Phone
(818) 501-5326
Fax
(818) 501-6958
NPI assigned
Jul 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Authorized official

Name
Erite Danial
Title
Book Keeper
Phone
(818) 501-5326

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X A30870 CA Primary

Addresses

Primary practice location

16311 Ventura Blvd
Suite 1150
Encino, CA 91436-2124

Mailing address

16311 Ventura Blvd
Suite 1150
Encino, CA 91436-2124
Phone (818) 501-5326

Other identifiers 1

IdentifierTypeStateIssuer
00A308700MedicaidCA

National Provider Directory

National Provider Directory

Locations

16311 Ventura Blvd
Ste 1150
Encino, CA 91436
Phone (818) 477-0787

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646265600000",
    "number": "1699796813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16311 VENTURA BLVD",
            "address_2": "SUITE 1150",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362124",
            "telephone_number": "818-501-5326",
            "fax_number": "818-501-6958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16311 VENTURA BLVD",
            "address_2": "SUITE 1150",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362124",
            "telephone_number": "818-501-5326",
            "fax_number": "818-501-6958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRZAD A. ABRAMS, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "DANIAL",
        "authorized_official_first_name": "ERITE",
        "authorized_official_title_or_position": "BOOK KEEPER",
        "authorized_official_telephone_number": "818-501-5326"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "A30870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A308700",
            "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 Mar 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.