Active NPI
Daniel Ahoubim, M.D.
- Neurology Physician
- Tarzana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- A144380
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130724000833 | NY | Practitioner - Neurology | 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
- Chsli St Joseph Hospital
- Peconic Bay Medical Center
- Good Samaritan Hospital Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A144380 | CA | MD | Neurology Physician |
| 250505 | NY | MD | Neurology Physician |
| ME113707 | FL | MD | Sleep Medicine (Psychiatry & Neurology) Physician |
Practice roles (7 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| Regents of the University of California | Neurology | Current | Accepting new patients |
| Regents of the University of California - Ucsd Medical Group | Current | Accepting new patients | |
| Northern Medical Care PC | Past | 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.
-
- Pain Medicine (Anesthesiology) Physician
- San Diego, CA
- NPI 1376646869
CA
-
- Neurology Physician
- San Diego, CA
- NPI 1649372673
CA, Neurology
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1558463927
-
- Gastroenterology Physician
- San Diego, CA
- NPI 1336267137
-
- General Acute Care Hospital
- Mission Hills, CA
- NPI 1477587632
-
- General Acute Care Hospital
- Van Nuys, CA
- NPI 1578529285
-
- Clinic/Center
- Corona, NY
- NPI 1275916652
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Islip, NY
- NPI 1902865355
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.