Individual provider Active NPI

Babak Shayestehfar, M.D.

  • Diagnostic Radiology Physician
  • North Hollywood, CA
National Provider Identifier
1801831466
Registry record updated Oct 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A60260 Issued in CA
Practice address
10767 Riverside Dr
North Hollywood, CA 91602-2324
Phone
(818) 301-6700
Fax
(818) 301-6701
NPI assigned
Jun 18, 2006
Last updated
Oct 13, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A60260 CA Primary

Addresses

Primary practice location

10767 Riverside Dr
North Hollywood, CA 91602-2324

Mailing address

10767 Riverside Dr
North Hollywood, CA 91602-2324
Phone (818) 301-6700

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050406001277 CA Practitioner - Diagnostic Radiology 7810944238 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of California, Geffen School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prohealth Advanced Imaging Medical Group IncGroup PAC ID 1557379096, 13 clinicians

Practice addresses (Care Compare)

10767 Riverside Dr
North Hollywood, CA 91602-2324
Phone (818) 301-6700

145 S Doheny Dr
Beverly Hills, CA 90211-2509
Phone (310) 550-5858

14915 Burbank Blvd
Van Nuys, CA 91411-3610
Phone (818) 909-7111

2560 W Olympic Blvd
Suite 100
Los Angeles, CA 90006-2998
Phone (323) 703-1000

2604 W Beverly Blvd
Montebello, CA 90640-2310
Phone (323) 247-8430

7345 Medical Ctr Dr
Suite 130
West Hills, CA 91307-1932
Phone (818) 710-6011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
60260CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Advanced Imaging Medical Group, Inc. Diagnostic Radiology CurrentSince Mar 1, 2006 Accepting new patients
Premier Womens Imaging Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients
Stephen B. Fierstien, M.D.,Inc. Diagnostic Radiology Past Accepting new patients
University Radiology Network Inc Diagnostic Radiology Past Accepting new patients

Locations

145 S Doheny Dr
Beverly Hills, CA 90211
Phone (310) 550-5858

99 N La Cienega Blvd
Ste 104
Beverly Hills, CA 90211
Phone (310) 622-3309

2560 W Olympic Blvd
Ste 100
Los Angeles, CA 90006
Phone (323) 703-1000

10767 Riverside Dr
North Hollywood, CA 91602
Phone (818) 301-6700

18344 Clark St
Ste 110
Tarzana, CA 91356
Phone (818) 791-0001

18388 Clark St
Ste 115
Tarzana, CA 91356
Phone (818) 609-0911

23456 Hawthorne Blvd
Ste 120
Torrance, CA 90505
Phone (818) 710-6011

14915 Burbank Blvd
Van Nuys, CA 91411
Phone (818) 909-7111

7345 Medical Center Dr
Ste 130
West Hills, CA 91307
Phone (818) 710-6011

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444694400000",
    "number": "1801831466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10767 RIVERSIDE DR",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916022324",
            "telephone_number": "818-301-6700",
            "fax_number": "818-301-6701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10767 RIVERSIDE DR",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916022324",
            "telephone_number": "818-301-6700",
            "fax_number": "818-301-6701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAYESTEHFAR",
        "first_name": "BABAK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2015-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A60260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

Verify at the official NPI Registry.