Mohsen Ebneshahidi, M.D

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

A121681 Issued in CA

Practice address

18460 Roscoe Blvd FL 3
Northridge, CA 91325-4107

Phone

(818) 885-5480

Fax

(818) 993-1917

NPI assigned

Jan 30, 2012

Last updated

Aug 22, 2023By the provider in NPPES

Sex

Male

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dignity Health Medical FoundationGroup PAC ID 7810800661, 1,211 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• La United Home Health Care, Inc. Home health agency, Canoga Park, CA, CCN 757462
• Vitas Healthcare Corporation of California Hospice, Encino, CA, CCN 051656
• Northridge Hospital Medical Center Hospital, Northridge, CA, CCN 050116

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dignity Health Medical Foundation

  dba Mercy Medical Group, a service of Dignity Health Medical Foundation

  • Multi-Specialty Clinic/Center
  • Sacramento, CA
  • NPI 1700803418
  Medicare reassignment Care Compare group NPD
• Hospitalist Medicine Physicians of California, Inc

  • Internal Medicine Physician
  • Apple Valley, CA
  • NPI 1184663965

  Hospitalist

  Medicare reassignment NPD
• Dignity Health Medical Foundation

  dba Dignity Health Medical Group - Northridge, a service of Dignity Health

  • Multi-Specialty Clinic/Center
  • Northridge, CA
  • NPI 1508222647
  NPD
• Dignity Health Medical Foundation

  dba Dignity Health Medical Group - North State, a service of Dignity Healt

  • Multi-Specialty Clinic/Center
  • Redding, CA
  • NPI 1912288432
  NPD

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

• Dignity Community Care

  dba Northridge Hospital Medical Center

  • General Acute Care Hospital
  • Northridge, CA
  • NPI 1417089350
  Care Compare affiliation
• La United Home Health Care Inc

  • Home Health Agency
  • Sun Valley, CA
  • NPI 1033881917
  Care Compare affiliation
• Vitas Healthcare Corporation of California

  • Community Based Hospice Care Agency
  • Encino, CA
  • NPI 1194869750
  Care Compare affiliation

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

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1801168471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18460 ROSCOE BLVD FL 3",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254107",
            "telephone_number": "818-885-5480",
            "fax_number": "818-993-1917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBNESHAHIDI",
        "first_name": "MOHSEN",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-30",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A121681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Durazo
• Carson Katheryne Durham, MS
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• Tali Eben, PHARM.D.
• Dawn Crugnale Ebner, LMFT
• Shahin Ebrahimian, M.D.
• Candice Echeverria, IBCLC
• Daniel Echeverry Bustamante, PT
• Sarah Echlin
• Edalat Dental Group, Apc

• Hospitalist Physician in Northridge, CA
• Providers in Northridge, CA by specialty
• Hospitalist Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.