Pulmonary Professionals a Medical Corporation

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

A61475 Issued in CA

Legal business name

PULMONARY PROFESSIONALS A MEDICAL CORPORATION

Practice address

18370 Burbank Blvd Ste 211
Tarzana, CA 91356-2854

Phone

(310) 914-9150

Fax

(310) 914-9705

NPI assigned

Jul 23, 2006

Last updated

Jan 8, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shahyar Yadegar, M.D.

Title

Medical Doctor

Phone

(323) 363-6910

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shahin Delkhah, M.D.

  • Internal Medicine Physician
  • Reseda, CA
  • NPI 1265477749
  Medicare reassignment
• Shahryar Yadegar, M.D.

  • Specialist
  • Tarzana, CA
  • NPI 1174546493
  Medicare reassignment

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578441600000",
    "number": "1861414716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1133",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916140000",
            "telephone_number": "310-914-9150",
            "fax_number": "310-914-9705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18370 BURBANK BLVD STE 211",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562854",
            "telephone_number": "310-914-9150",
            "fax_number": "310-914-9705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY PROFESSIONALS A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A",
        "authorized_official_last_name": "YADEGAR",
        "authorized_official_first_name": "SHAHYAR",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "323-363-6910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A61475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A614750",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Progressive Physical Therapy Inc
• Providence Health System-Southern California (Providence Tarzana Pharmacy)
• Cheryl Przybos
• Psychmed West a Psychological Corporation
• Pulmonary Medical Corporation
• Pulse Treatment Center Inc.
• Elizabeth D Punit
• Pure Health Medical
• Pure Skin Recovery
• Sameer Puri, DDS

• Pulmonary Disease Physician in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Pulmonary Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.