Active NPI
Shohreh Ghaemian, M.D.
- Psychiatry Physician
- Commerce, CA
National Provider Identifier
1871615591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A66956
- Practice address
- 1436 Goodrich Blvd
Commerce, CA 90022-5111 - Phone
- (323) 725-1337
- Fax
- (323) 278-5344
- NPI assigned
- Apr 4, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A66956 | CA | Primary |
Addresses
Primary practice location
1436 Goodrich Blvd
Commerce, CA 90022-5111
Mailing address
8600 Burton Way
# 303
Los Angeles, CA 90048-6704
Phone (310) 273-7971
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A66956 | CA | MD | Psychiatry Physician |
| 66946 | CA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871615591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8600 BURTON WAY",
"address_2": "# 303",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900486704",
"telephone_number": "310-273-7971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1436 GOODRICH BLVD",
"city": "COMMERCE",
"state": "CA",
"postal_code": "900225111",
"telephone_number": "323-725-1337",
"fax_number": "323-278-5344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHAEMIAN",
"first_name": "SHOHREH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A66956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Commerce, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.