NPIMap

Individual provider Active NPI

Behzad Souferzadeh, D.O.

  • Family Medicine Physician
  • Sherman Oaks, CA
National Provider Identifier
1851694988
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A12379 Issued in CA
Practice address
5000 Van Nuys Blvd Ste 201
Sherman Oaks, CA 91403-1717
Phone
(818) 572-1490
Fax
(818) 572-1491
NPI assigned
Dec 12, 2010
Last updated
Nov 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A12379 CA Primary

Addresses

Primary practice location

5000 Van Nuys Blvd Ste 201
Sherman Oaks, CA 91403-1717

Mailing address

5000 Van Nuys Blvd Ste 201
Sherman Oaks, CA 91403-1717
Phone (818) 572-1490

Other names 1

  • Dr. Behzad Soufer Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130410000218 CA Practitioner - Family PracticePractitioner - General Practice 6507002979 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Behzad Soufer DO ApcGroup PAC ID 6305061516, 3 clinicians
St Joseph Hospitalist Medical Group IncGroup PAC ID 5496988578, 11 clinicians

Practice addresses (Care Compare)

5000 Van Nuys Blvd
Suite 201
Sherman Oaks, CA 91403-1717
Phone (818) 572-1490

501 S Buena Vista St
Burbank, CA 91505-4809
Phone (818) 843-5111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice Center, PC Family Medicine Current Accepting new patients
Behzad Soufer DO Apc Family Medicine CurrentSince Jul 1, 2014 Accepting new patients
St. Joseph Hospitalist Medical Group, Inc. CurrentSince Sep 15, 2015 Accepting new patients
Comprehensive Hospitalist & Ambulatory Physicians-Hospitalists CurrentSince Mar 22, 2018 Accepting new patients
Pih Health Downey Hospital Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients
Providence Health & Services - Wa Past Accepting new patients

Locations

501 S Buena Vista St
Burbank, CA 91505
Phone (818) 783-0800

4835 Van Nuys Blvd
Ste 109
Sherman Oaks, CA 91403
Phone (818) 784-3615

5000 Van Nuys Blvd
Ste 201
Sherman Oaks, CA 91403
Phone (818) 572-1490

7 Dock Hill Rd
Middleburg, PA 17842
Phone (570) 837-2123

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: behzad.souferzadeh.p1@direct.lakeside.nextgenshare.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
North Valley Nursing CenterTujunga, CA, CCN 055146 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2021
Jan 1, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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.

Hospital & facility affiliations 12

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

NPI Registry JSON

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

{
    "created_epoch": "1292112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1851694988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 VAN NUYS BLVD STE 201",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031717",
            "telephone_number": "818-572-1490",
            "fax_number": "818-572-1491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 VAN NUYS BLVD STE 201",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031717",
            "telephone_number": "818-572-1490",
            "fax_number": "818-572-1491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUFERZADEH",
        "first_name": "BEHZAD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-12",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A12379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEHZAD",
            "last_name": "SOUFER",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.