Ardeshir Pooshpas

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95009063 Issued in CA

Practice address

16260 Ventura Blvd
Encino, CA 91436

Phone

(818) 905-1567

Fax

(818) 905-7406

NPI assigned

May 16, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

El Proyecto del Barrio IncGroup PAC ID 3476546227, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northridge Hospital Medical Center Hospital, Northridge, CA, CCN 050116

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• El Proyecto del Barrio, Inc.

  • Federally Qualified Health Center (FQHC)
  • Azusa, CA
  • NPI 1770696023
  Medicare reassignment Care Compare group NPD
• El Proyecto del Barrio, Inc.

  • Federally Qualified Health Center (FQHC)
  • Northridge, CA
  • NPI 1093181448
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dignity Community Care

  • General Acute Care Hospital
  • Northridge, CA
  • NPI 1417089350
  Care Compare affiliation

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1700376571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22150 ECCLES ST",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913042314",
            "telephone_number": "818-618-2594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16260 VENTURA BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "91436",
            "telephone_number": "818-905-1567",
            "fax_number": "818-905-7406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22150 Eccles St",
            "address_purpose": "LOCATION",
            "city": "West Hills",
            "state": "CA",
            "postal_code": "913042314",
            "country_code": "US",
            "telephone_number": "818-618-2594",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18445 Vanowen St Ste A",
            "address_purpose": "LOCATION",
            "city": "Reseda",
            "state": "CA",
            "postal_code": "913355351",
            "country_code": "US",
            "telephone_number": "818-452-5534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POOSHPAS",
        "first_name": "ARDESHIR",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-16",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95009063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon S. Pollock, M.D.
• Susan A Pomeranz
• Natalie Ponce
• Richard Ponce
• Tracey Pontelle
• Michael Popkin, MD
• Genesis Popoca
• Sheron Porat, MSW
• Vanessa Yvette Portillo
• Anna Posadas

• Family Nurse Practitioner in Encino, CA
• Providers in Encino, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.