Individual provider Active NPI

Bairat Shasi

  • Primary Care Nurse Practitioner
  • North Hollywood, CA
National Provider Identifier
1770021230
Registry record updated Jun 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
95009232 Issued in CA
Practice address
5251 Vineland Ave Apt 514
North Hollywood, CA 91601
Phone
(773) 936-9100
NPI assigned
Feb 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95009232 CA
Primary Care Nurse Practitioner 363LP2300X 95009232 CA Primary

Addresses

Primary practice location

5251 Vineland Ave Apt 514
North Hollywood, CA 91601

Mailing address

5251 Vineland Ave Apt 514
North Hollywood, CA 91601-7014
Phone (773) 936-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190612001438 CA Practitioner - Nurse Practitioner 6002149796
I20230404001950 TX Practitioner - Nurse Practitioner 6002149796 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95009232CAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa of Texas PLLC CurrentSince May 31, 2023 Accepting new patients
Vpa of Texas PLLC Current Accepting new patients
Harmonycares Complete Health Services, PLLC CurrentSince Sep 16, 2025 Accepting new patients
Vpa of Texas PLLC CurrentSince May 31, 2023 Accepting new patients

Locations

8588 Katy Fwy
Ste 226A
Houston, TX 77024
Phone (713) 532-6884

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1486252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529280000000",
    "number": "1770021230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5251 VINELAND AVE APT 514",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916017014",
            "telephone_number": "773-936-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5251 VINELAND AVE APT 514",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "91601",
            "telephone_number": "773-936-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHASI",
        "first_name": "BAIRAT",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-05",
        "last_updated": "2018-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95009232",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95009232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

Verify at the official NPI Registry.