Liad Shabtay, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

17412 Ventura Blvd
PO Box 720
Encino, CA 91316

Phone

(818) 671-9955

NPI assigned

May 5, 2025

Last updated

Jul 30, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence Saint Joseph Medical Ctr Hospital, Burbank, CA, CCN 050235

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Behzad Soufer DO Apc

  • Family Medicine Physician
  • Sherman Oaks, CA
  • NPI 1245640671
  Medicare reassignment
• Comprehensive Hospitalist & Ambulatory Physicians-Hospitalists

  • Hospitalist Physician
  • Sherman Oaks, CA
  • NPI 1639664030
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Providence Health System - Southern California

  dba Providence Saint Joseph Medical Center

  • General Acute Care Hospital
  • Burbank, CA
  • NPI 1336173269
  Care Compare affiliation

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

{
    "created_epoch": "1746403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1780473710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17412 VENTURA BLVD",
            "address_2": "PO BOX 720",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "91316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17412 VENTURA BLVD",
            "address_2": "PO BOX 720",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "91316",
            "telephone_number": "818-671-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHABTAY",
        "first_name": "LIAD",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-05",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sloane Hope Sevran, M.D.
• Robyn Sue Sewitz, LCSW
• Majid Seyedin, DPM
• Rebbekah Arba Sforza, M.S., B.C.B.A
• Hooman Shabatian, M.D.
• Shades of Life Home Health LLC
• Golriz Shafaie
• Barbara None Shaffer, MFT
• Barry Shaffer, DDS
• Jessica Shaffer

• Physician Assistant in Encino, CA
• Providers in Encino, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; 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.

Verify at the official NPI Registry.