Individual provider Active NPI

Bahman Ben Shamloo, M.D

  • Anesthesiology Physician
  • Los Angeles, CA
National Provider Identifier
1871760918
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A103444 Issued in CA
Practice address
8631 W 3Rd St Ste 815E
Los Angeles, CA 90048-5901
Phone
(310) 246-2358
Fax
(424) 285-8534
NPI assigned
May 8, 2008
Last updated
Jan 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A103444 CA Primary

Addresses

Primary practice location

8631 W 3Rd St Ste 815E
Los Angeles, CA 90048-5901

Mailing address

8631 W 3Rd St Ste 815E
Los Angeles, CA 90048-5901
Phone (310) 246-2358

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100111000512 CA Practitioner - Anesthesiology 0446391569 Reassigns benefits to 1 organization
I20201110000823 NV Practitioner - Anesthesiology 0446391569 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8631 W 3Rd St
Los Angeles, CA 90048-5901
Phone (310) 246-2358

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A103444CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Biohealth Surgical Institute Current Accepting new patients
Shamloo Blue Sky Treatment Center PLLC CurrentSince Oct 6, 2020 Accepting new patients
Elite California Pain & Spine Institute Anesthesiology CurrentSince Jul 20, 2018 Accepting new patients
Golden State Anesthesia Consultants, Inc. Anesthesiology Past Accepting new patients

Locations

9033 Wilshire Blvd
Ste 210
Beverly Hills, CA 90211
Phone (213) 637-3700

8631 W 3rd St
#815E
Los Angeles, CA 90048
Phone (310) 246-2358

11271 Ventura Blvd
#472
Studio City, CA 91604

3100 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 225-5025

3150 N Tenaya Way
Ste 150
Las Vegas, NV 89128
Phone (702) 685-8392

Interoperability endpoints

  • Direct secure messaging: bshamloo103731@direct.cshs.org

Organizations & group practices 4

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 2

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": "1210204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1871760918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8631 W 3RD ST STE 815E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485901",
            "telephone_number": "310-246-2358",
            "fax_number": "424-285-8534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8631 W 3RD ST STE 815E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485901",
            "telephone_number": "310-246-2358",
            "fax_number": "424-285-8534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMLOO",
        "first_name": "BAHMAN",
        "middle_name": "BEN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-08",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A103444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.