Organization Active NPI

Steven C Shoham MD

  • Pediatrics Physician
  • Granada Hills, CA
National Provider Identifier
1710164967
Registry record updated Jun 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
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

Updated by the provider on Jun 19, 2018

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

Authorized official

Name
Dr. Steven Charles Shoham, MDNPI 1841290400
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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00G508260MedicaidCA

Other names 1

  • Shoham Medical Group Other name

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.