Organization Active NPI

Neda Shafaghi, MD Inc

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1700166030
Registry record updated Oct 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NEDA SHAFAGHI, MD INC
Practice address
5901 W Olympic Blvd
Ste 506
Los Angeles, CA 90036-4667
Phone
(415) 609-3655
NPI assigned
Aug 18, 2011
Last updated
Oct 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2013

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

Authorized official

Name
Dr. Neda Shafaghi, M.D.NPI 1801060405
Title
President
Phone
(415) 609-3655

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

5901 W Olympic Blvd
Ste 506
Los Angeles, CA 90036-4667

Mailing address

9663 Santa Monica Blvd
No. 383
Beverly Hills, CA 90210-4303
Phone (415) 609-3655

National Provider Directory

National Provider Directory

Locations

5901 W Olympic Blvd
Ste 506
Los Angeles, CA 90036
Phone (213) 936-8283

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381449600000",
    "number": "1700166030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9663 SANTA MONICA BLVD",
            "address_2": "NO. 383",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104303",
            "telephone_number": "415-609-3655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 W OLYMPIC BLVD",
            "address_2": "STE 506",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900364667",
            "telephone_number": "415-609-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEDA SHAFAGHI, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-18",
        "last_updated": "2013-10-11",
        "status": "A",
        "authorized_official_last_name": "SHAFAGHI",
        "authorized_official_first_name": "NEDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-609-3655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Oct 11, 2013; 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.