Active NPI
Steven C Shoham MD
- Pediatrics Physician
- Granada Hills, CA
National Provider Identifier
1710164967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- STEVEN C SHOHAM MD
- Practice address
- 10515 Balboa Blvd Ste 360
Granada Hills, CA 91344 - Phone
- (818) 832-3322
- Fax
- (818) 360-9171
- NPI assigned
- Jan 29, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Steven Charles Shoham, MD
- Title
- Physician Owner
- Phone
- (818) 832-3322
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
10515 Balboa Blvd Ste 360
Granada Hills, CA 91344
Mailing address
10515 Balboa Blvd Ste 360
Granada Hills, CA 91344-6346
Phone (818) 832-3322
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G508260 | Medicaid | CA |
Other names 1
- Shoham Medical Group
National Provider Directory
National Provider DirectoryLocations
10515 Balboa Blvd
Ste 360
Granada Hills, CA 91344
Phone (818) 832-3322
10605 Balboa Blvd
Ste 307
San Fernando, CA 91344
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Granada Hills, CA
- NPI 1841290400
-
- Pediatric Adolescent Medicine Physician
- Granada Hills, CA
- NPI 1336146711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201564800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529366400000",
"number": "1710164967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10515 BALBOA BLVD STE 360",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "913446346",
"telephone_number": "818-832-3322",
"fax_number": "818-360-9171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10515 BALBOA BLVD STE 360",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "91344",
"telephone_number": "818-832-3322",
"fax_number": "818-360-9171"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEVEN C SHOHAM MD",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-29",
"last_updated": "2018-06-19",
"status": "A",
"authorized_official_last_name": "SHOHAM",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "CHARLES",
"authorized_official_title_or_position": "PHYSICIAN OWNER",
"authorized_official_telephone_number": "818-832-3322",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G508260",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Shoham Medical Group",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Shoham Medical Group",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Granada Hills, CA
- Step Up Behavior
- Melissa Stepanian, APCC
- Armine Stepanyan Zambre, PH.D
- Stephan Aaron's Med Trans
- Sterling Home Health Group, Inc.
- Steven Naltsas MD Inc (Academy Physicians of Dermatology Medical Group)
- Carina G Stewart, DDS
- Alicia Anne Stone, MFT
- Stuart Pedorthics, Inc.
- Jerry Joseph Stupar, REGISTERED NURSE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.