Active NPI
Shahrzad Akbary, D.O.
- Dermatology Physician
- Porter Ranch, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 20A17098
- Practice address
- 19950 Rinaldi St
Porter Ranch, CA 91326-4141 - Phone
- (818) 403-2450
- NPI assigned
- Jul 7, 2015
- Last updated
- Jul 12, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 20A17098 | CA | Primary |
| General Practice Physician | 208D00000X | UO4611 | FL |
Addresses
Primary practice location
19950 Rinaldi St
Porter Ranch, CA 91326-4141
Mailing address
PO Box 9602
Mission Hills, CA 91346-9602
Phone (818) 837-5559
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Arizona College of Osteopathic Medicine Mid Western University, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11333 Sepulveda Blvd
Mission Hills, CA 91345-1116
Phone (818) 365-9531
19950 Rinaldi St
Porter Ranch, CA 91326-4141
Phone (818) 403-2400
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 22 |
| Removal of skin lesions | 427 |
| Removal or shaving of skin growth | 11 |
| Skin biopsy | 111 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17098 | CA | MD | Clinical Social Worker |
| 20A17098 | CA | MD | Dermatology Physician |
| UO4611 | FL | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Facey Medical Foundation | Dermatology | Current | Accepting new patients |
| Providence Facey Medical Foundation | Current | Accepting new patients | |
| Providence Health System - Southern California | Past | Accepting new patients | |
| Henry Mayo Newhall Memorial Hospital | Past | Accepting new patients |
Locations
File 50670
Los Angeles, CA 90074
18460 Roscoe Blvd
Northridge, CA 91325
Phone (818) 734-3600
19950 Rinaldi St
Porter Ranch, CA 91326
Phone (818) 403-2400
19950 Rinaldi St
Ste 103
Porter Ranch, CA 91326
Phone (818) 403-2400
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- sakbary1074419@oc.providencedirect.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Facey Medical Group
- Internal Medicine Physician
- Valencia, CA
- NPI 1710031588
Dermatology
-
dba Providence Express Care
- Multi-Specialty Clinic/Center
- Irvine, CA
- NPI 1891348447
-
dba Henry Mayo Newhall Hospital
- General Acute Care Hospital
- Valencia, CA
- NPI 1780668434
-
dba Providence Holy Cross Medical Center
- General Acute Care Hospital
- Mission Hills, CA
- NPI 1477587632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562889600000",
"number": "1801279948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9602",
"city": "MISSION HILLS",
"state": "CA",
"postal_code": "913469602",
"telephone_number": "818-837-5559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19950 RINALDI ST",
"city": "PORTER RANCH",
"state": "CA",
"postal_code": "913264141",
"telephone_number": "818-403-2450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AKBARY",
"first_name": "SHAHRZAD",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-07",
"last_updated": "2019-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "20A17098",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "UO4611",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Porter Ranch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; 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.