Individual provider Active NPI

Daniel Ahoubim, M.D.

  • Neurology Physician
  • Tarzana, CA
National Provider Identifier
1740415686
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A144380 Issued in CA
Practice address
18370 Burbank Blvd Ste 414
Tarzana, CA 91356
Phone
(818) 877-7715
Fax
(818) 877-7716
NPI assigned
May 21, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME113707 FL
Neurology Physician 2084N0400X 250505 NY
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X ME113707 FL
Neurology Physician 2084N0400X A144380 CA Primary

Addresses

Primary practice location

18370 Burbank Blvd Ste 414
Tarzana, CA 91356

Mailing address

PO Box 25082
Los Angeles, CA 90025-0082
Phone (646) 334-5810

Other practice location 1

5363 Balboa Blvd Ste 445
Encino, CA 91316-2844
Phone (646) 334-5810

Other practice location 2

9960 NW 116th Way Ste 13
Medley, FL 33178-1175
Phone (786) 675-5600

Other practice location 3

5363 Balboa Blvd Ste 445
Encino, CA 91316-2844
Phone (646) 334-5810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130724000833 NY Practitioner - NeurologyPractitioner - Psychiatry 0345480406 Reassigns benefits to 1 organization
I20170207002813 CA Practitioner - Neurology 0345480406 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18370 Burbank Blvd
Suite 414
Tarzana, CA 91356-2843
Phone (818) 987-8393

223 W Montauk Hwy
Suite 208
Hampton Bays, NY 11946-3536
Phone (631) 819-1232

Hospital & facility affiliations

  • Valley Presbyterian Hospital Hospital, Van Nuys, CA, CCN 050126
  • Chsli St Joseph Hospital Hospital, Bethpage, NY, CCN 330332
  • Peconic Bay Medical Center Hospital, Riverhead, NY, CCN 330107
  • Good Samaritan Hospital Medical Center Hospital, West Islip, NY, CCN 330286

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A144380CAMDNeurology Physician
250505NYMDNeurology Physician
ME113707FLMDSleep Medicine (Psychiatry & Neurology) Physician

Practice roles (7 of 8)

OrganizationSpecialtyStatusNew patients
Regents of the University of California CurrentSince Jan 25, 2017 Accepting new patients
Regents of the University of California Current Accepting new patients
Regents of the University of California Neurology CurrentSince Jan 25, 2017 Accepting new patients
Regents of the University of California - Ucsd Medical Group CurrentSince Jan 26, 2017 Accepting new patients
Northern Medical Care PC PastSince Apr 13, 2016 Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Valley Presbyterian Hospital Past Accepting new patients

Locations

35900 Bob Hope Dr
Ste 257
Rancho Mirage, CA 92270
Phone (760) 321-2500

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 9

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 4

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": "1242864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1740415686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25082",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900250082",
            "telephone_number": "646-334-5810",
            "fax_number": "818-877-7716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18370 BURBANK BLVD STE 414",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "91356",
            "telephone_number": "818-877-7715",
            "fax_number": "818-877-7716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5363 Balboa Blvd Ste 445",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "913162844",
            "country_code": "US",
            "telephone_number": "646-334-5810",
            "fax_number": "818-350-0555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9960 NW 116th Way Ste 13",
            "address_purpose": "LOCATION",
            "city": "Medley",
            "state": "FL",
            "postal_code": "331781175",
            "country_code": "US",
            "telephone_number": "786-675-5600",
            "fax_number": "786-675-5602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5363 Balboa Blvd Ste 445",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "913162844",
            "country_code": "US",
            "telephone_number": "646-334-5810",
            "fax_number": "818-350-0555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHOUBIM",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-21",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME113707",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "250505",
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "FL",
            "license": "ME113707",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A144380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.