Shervin Shamtoub D.P.M. Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E4734 Issued in CA

Legal business name

SHERVIN SHAMTOUB D.P.M. INC

Practice address

1401 S Grand Ave
Los Angeles, CA 90015

Phone

(818) 416-2919

NPI assigned

Jun 17, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Shervin Shamtoub, D.P.M.NPI 1194923326

Title

President

Phone

(818) 416-2919

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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.

• Shervin Shamtoub, D.P.M.

  • Podiatrist
  • Los Angeles, CA
  • NPI 1194923326
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1700225315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5632 VAN NUYS BLVD UNIT 1527",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914014602",
            "telephone_number": "818-416-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S GRAND AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90015",
            "telephone_number": "818-416-2919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Colorado Blvd",
            "address_purpose": "LOCATION",
            "city": "Eagle Rock",
            "state": "CA",
            "postal_code": "900412321",
            "country_code": "US",
            "telephone_number": "818-416-2919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHERVIN SHAMTOUB D.P.M. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-17",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "SHAMTOUB",
        "authorized_official_first_name": "SHERVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-416-2919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Sylvia Imhof Sherrod
• Sherry the Doula Inc
• Evelyn Romero Sherry, LVN
• Susan L Shershow, LCSW
• Shervin Eshaghian MD Inc
• Sherwin J. Isenberg MD Inc
• Maricella Mendez Sherwin, PH.D.
• Jan Sherwood
• Roberta L Sherwood, MA MFT
• David E Sheski, M.D.

• Foot & Ankle Surgery Podiatrist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.