Shahrzad Sorourbakhsh, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A77260 Issued in CA

Practice address

1134 Murrieta Blvd
Livermore, CA 94550-4113

Phone

(925) 449-7795

Fax

(925) 449-7953

NPI assigned

Jan 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• LPCH Medical Group Div of Lucile

  • Children's Hospital
  • Palo Alto, CA
  • NPI 1417907940

  Pediatrics

  Medicare reassignment NPD
• Suzanne Weiss Dba Worcester Pediatric Associates

  • Pediatrics Physician
  • Worcester, MA
  • NPI 1669689543
  NPD (past)
• Worcester Pediatrics PC

  • Pediatrics Physician
  • Worcester, MA
  • NPI 1740654599
  NPD (past)

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525046400000",
    "number": "1790755163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 MURRIETA BLVD",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504113",
            "telephone_number": "925-449-7795",
            "fax_number": "925-449-7953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1134 MURRIETA BLVD",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504113",
            "telephone_number": "925-449-7795",
            "fax_number": "925-449-7953"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Summer St",
            "address_2": "Suite 690",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016081200",
            "country_code": "US",
            "telephone_number": "508-363-9530",
            "fax_number": "508-363-9535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOROURBAKHSH",
        "first_name": "SHAHRZAD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2018-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "209894",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A77260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Softap Inc
• Randall Jay Sokoloff
• Joshua Joseph Solomon
• Sonja Soeberg Sommer, DDS
• Teri Sorkin, MA, LMFT
• Kayvon Sotoudeh, M.D.
• Angelica Spaccarelli
• Maria Ines Spampinato, RPH
• Speak and Sprout Speech Therapy Inc
• Aaron Specht

• Pediatrics Physician in Livermore, CA
• Providers in Livermore, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.