Brian Soheil Shafa, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

A168640 Issued in CA

Practice address

8907 Wilshire Blvd Ste 100
Beverly Hills, CA 90211-1928

Phone

(310) 666-5443

NPI assigned

Jun 6, 2012

Sex

Male

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.

• Feldmar Medical Corporation

  • Plastic Surgery Physician
  • Beverly Hills, CA
  • NPI 1669773859
  Medicare reassignment NPD
• Foot & Ankle Doctors of Beverly Hills, a Professional Corp

  • Foot & Ankle Surgery Podiatrist
  • Beverly Hills, CA
  • NPI 1457789190
  Medicare reassignment NPD

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1811258726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8907 WILSHIRE BLVD STE 100",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111928",
            "telephone_number": "310-666-5443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8907 WILSHIRE BLVD STE 100",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111928",
            "telephone_number": "310-666-5443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7230 Medical Center Dr Ste 405",
            "address_purpose": "LOCATION",
            "city": "West Hills",
            "state": "CA",
            "postal_code": "913071940",
            "country_code": "US",
            "telephone_number": "818-518-5980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAFA",
        "first_name": "BRIAN",
        "middle_name": "SOHEIL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-06",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A168640",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seymour Levine MD a Professional Corporation
• Shahrzad Shazi Shabatian, MS, RDN
• Orly Shabboui, M.A.
• Payam Shabboui, PHARMD
• Angela Shadrooz, LMFT
• Eliza S. Azad Shafa, RDH
• Shervin Shaffiy, M.D.
• Nilomi Nilesh Shah, PHARMD
• Rina Bihari Shah, MD
• Roshni Shah, M.D

• Plastic Surgery Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; 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.