Individual provider Active NPI

Shahrouz Y. Ghodsian, MD

  • Neurology Physician
  • Los Angeles, CA
National Provider Identifier
1861404535
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A82527 Issued in CA
Practice address
11000 Wilshire Blvd 24673
Los Angeles, CA 90024-7042
Phone
(310) 709-7355
NPI assigned
Aug 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A82527 CA
Addiction Medicine (Internal Medicine) Physician 207RA0401X A82527 CA
Nephrology Physician 207RN0300X A82527 CA
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X A82527 CA
General Practice Physician 208D00000X A82527 CA
Neurology Physician 2084N0400X A82527 CA Primary

Addresses

Primary practice location

11000 Wilshire Blvd 24673
Los Angeles, CA 90024-7042

Mailing address

PO Box 24673
Los Angeles, CA 90024-0673
Phone (310) 552-2273

Other practice location 1

7765 Leeds St
Downey, CA 90242-3489
Phone (844) 804-1933

Other practice location 2

14124 Bucher Ave
Sylmar, CA 91342-1424
Phone (844) 804-1933

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
I20050307000159 CA Practitioner - NephrologyPractitioner - Internal Medicine 8820042583 Reassigns benefits to 4 organizations
Practice locations: Long Beach, CA; South Gate, CA; San Diego, CA; Piru, CA; Murieta, CA; Marina del Ray, CA; Hawaiian Gardens, CA

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
R Franklin University of Med & Sci/Chicago Medical School, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthpointe Medical Group, Inc.Group PAC ID 0941299135, shared by 2 NPIs, 35 clinicians

Practice addresses (Care Compare)

6820 La Tijera Blvd
Suite 217
Los Angeles, CA 90045-1931
Phone (310) 218-4300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A82527CAMDAddiction Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Socal Behavioral Medicine, Inc. Addiction Medicine CurrentSince Apr 12, 2019 Accepting new patients
Healthpointe Medical Group, Inc. Current Accepting new patients
Healthpointe Medical Group, Inc. Current Accepting new patients
Healhtpointe Medical Group, Inc. CurrentSince Mar 23, 2020 Accepting new patients
Healthpointe Medical Group, Inc. CurrentSince Mar 23, 2020 Accepting new patients
Integrated Pain Management Medical Group, Inc. CurrentSince Jun 14, 2017 Accepting new patients
Syg Health Systems Inc Internal Medicine PastSince Jul 12, 2020 Accepting new patients
Motion Picture and Television Fund Medical Group, Inc Internal Medicine Past Accepting new patients
CRT Programs Inc. PastSince Oct 8, 2023 Accepting new patients
Medicus Telehealth Inc. Addiction Medicine PastSince Jul 25, 2019 Accepting new patients
CRT Programs Inc. PastSince Oct 8, 2023 Accepting new patients
Multi Health Care Medical Group Inc. Internal Medicine PastSince Oct 1, 2002 Accepting new patients
Beverly Hills Doctors, Inc Internal Medicine Past Accepting new patients

Locations

1717 E Lincoln Ave
Anaheim, CA 92805
Phone (714) 635-2642

290 N 10th St
Ste 100
Colton, CA 92324
Phone (909) 264-2500

16702 Valley View Ave
La Mirada, CA 90638
Phone (562) 921-0341

5584 N Paramount Blvd
Ste 100
Long Beach, CA 90805
Phone (562) 920-8394

10650 Reagan St
Unit 824
Los Alamitos, CA 90720
Phone (310) 447-3842

6820 La Tijera Blvd
Ste 217
Los Angeles, CA 90045
Phone (310) 218-4300

754 N Mountain Ave
Ontario, CA 91762
Phone (909) 460-4155

1611 S Pacific Coast Hwy
Ste 200D
Redondo Beach, CA 90277
Phone (310) 698-5252

1711 Via El Prado
Ste 301
Redondo Beach, CA 90277
Phone (310) 683-8805

999 N Tustin Ave
Ste 201
Santa Ana, CA 92705
Phone (714) 975-7950

27455 Tierra Alta Way
Ste A
Temecula, CA 92590
Phone (951) 699-5282

450 N Wiget Ln
Walnut Creek, CA 94598
Phone (925) 413-4960

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1861404535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24673",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900240673",
            "telephone_number": "310-552-2273",
            "fax_number": "310-999-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11000 WILSHIRE BLVD 24673",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900247042",
            "telephone_number": "310-709-7355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7765 Leeds St",
            "address_purpose": "LOCATION",
            "city": "Downey",
            "state": "CA",
            "postal_code": "902423489",
            "country_code": "US",
            "telephone_number": "844-804-1933",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14124 Bucher Ave",
            "address_purpose": "LOCATION",
            "city": "Sylmar",
            "state": "CA",
            "postal_code": "913421424",
            "country_code": "US",
            "telephone_number": "844-804-1933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHODSIAN",
        "first_name": "SHAHROUZ",
        "middle_name": "Y.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A82527",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "CA",
            "license": "A82527",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A82527",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "CA",
            "license": "A82527",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A82527",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A82527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.