Individual provider Active NPI

Shahram Daneshgar, MD

  • Gastroenterology Physician
  • Thousand Oaks, CA
National Provider Identifier
1730191875
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A33755 Issued in CA
Practice address
2230 Lynn Rd
Suite 300
Thousand Oaks, CA 91360-8010
Phone
(805) 371-8400
Fax
(805) 371-8404
NPI assigned
Aug 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A33755 CA
Hepatology Physician 207RI0008X A33755 CA
Gastroenterology Physician 207RG0100X A33755 CA Primary

Addresses

Primary practice location

2230 Lynn Rd
Suite 300
Thousand Oaks, CA 91360-8010

Mailing address

2230 Lynn Rd Ste 300
Thousand Oaks, CA 91360-1991
Phone (805) 371-8400

Other identifiers 1

IdentifierTypeStateIssuer
00A337550MedicaidCA

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101022000738 CA Practitioner - Gastroenterology 2860535176 Practice locations: Thousand Oaks, CA

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2220 Lynn Rd
Suite 202
Thousand Oaks, CA 91360-8010
Phone (805) 371-9400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.59 of 100Reported as individual
Quality
63.45
Improvement activities
40
Cost
70.69

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy403
Upper gastrointestinal (GI) endoscopy for acid reflux294

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
33755CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Tree Surgical Center LLC Current Accepting new patients

Locations

2230 Lynn Rd
Ste 320
Thousand Oaks, CA 91360
Phone (805) 371-8400

Interoperability endpoints

  • Direct secure messaging: sharam.daneshgar@sdm-ca.direct.office.nextgen.com

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1730191875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 LYNN RD STE 300",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601991",
            "telephone_number": "805-371-8400",
            "fax_number": "805-371-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 LYNN RD",
            "address_2": "SUITE 300",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913608010",
            "telephone_number": "805-371-8400",
            "fax_number": "805-371-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANESHGAR",
        "first_name": "SHAHRAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A33755",
            "primary": false
        },
        {
            "code": "207RI0008X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hepatology",
            "state": "CA",
            "license": "A33755",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A33755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A337550",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.