Active NPI
Shahram Jalali, M.D.
- Anesthesiology Physician
- Van Nuys, CA
National Provider Identifier
1740239607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A82712
- Practice address
- 15107 Vanowen St
Van Nuys, CA 91405-4542 - Phone
- (818) 782-6600
- Fax
- (818) 904-3774
- NPI assigned
- May 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A82712 | CA | Primary |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | A82712 | CA |
Addresses
Primary practice location
15107 Vanowen St
Van Nuys, CA 91405-4542
Mailing address
101 S 1St St
Suite 1000
Burbank, CA 91502-1938
Phone (818) 845-6206
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W19928 | Other | CA | CORPORATION PTAN |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 90.45 of 100
- Quality
- 77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A82712 | CA | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VP Anesthesia Partners, Inc | Anesthesiology | Current | Accepting new patients |
| Health Alliance Socal, Inc | Past | Accepting new patients | |
| S. Jalali, M.D., Inc. | Anesthesiology | Past | Accepting new patients |
Locations
210 W San Bernardino Rd
Covina, CA 91723
Phone (626) 858-8580
15107 Vanowen St
Van Nuys, CA 91405
Phone (818) 782-6600
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Van Nuys, CA
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- Anesthesiology Physician
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- NPI 1790701548
-
- Psychiatry Physician
- Inglewood, CA
- NPI 1184343055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225152000000",
"number": "1740239607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 S 1ST ST",
"address_2": "SUITE 1000",
"city": "BURBANK",
"state": "CA",
"postal_code": "915021938",
"telephone_number": "818-845-6206",
"fax_number": "626-396-0851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15107 VANOWEN ST",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914054542",
"telephone_number": "818-782-6600",
"fax_number": "818-904-3774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JALALI",
"first_name": "SHAHRAM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-09",
"last_updated": "2008-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A82712",
"primary": true
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "CA",
"license": "A82712",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CORPORATION PTAN",
"identifier": "W19928",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.