Active NPI
Daniel Shouhed, M.DM
- Surgery Physician
- West Hollywood, CA
National Provider Identifier
1740509900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A111835
- Practice address
- 8700 Beverly Blvd Ste 8215
West Hollywood, CA 90048-1804 - Phone
- (310) 423-5874
- NPI assigned
- May 26, 2010
- Last updated
- May 26, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A111835 | CA | Primary |
Addresses
Primary practice location
8700 Beverly Blvd Ste 8215
West Hollywood, CA 90048-1804
Mailing address
1230 Coldwater Canyon Dr
Beverly Hills, CA 90210-2405
Phone (310) 386-8664
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 1, 2025 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111835 | CA | MD | Public Health Dentist |
| A111835 | CA | MD | Surgery Physician |
Interoperability endpoints
- dshouhed103762@direct.cshs.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274832000000",
"number": "1740509900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1230 COLDWATER CANYON DR",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902102405",
"telephone_number": "310-386-8664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8700 BEVERLY BLVD STE 8215",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900481804",
"telephone_number": "310-423-5874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOUHED",
"first_name": "DANIEL",
"credential": "M.DM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-05-26",
"last_updated": "2010-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A111835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.