Mark Mahbod Shafa, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A61060 Issued in CA

Practice address

3160 Geneva St
Los Angeles, CA 90020-1117

Phone

(213) 368-3338

Fax

(213) 368-3314

NPI assigned

Jan 12, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Merit-based Incentive Payment System (MIPS)

Final score

74.49 of 100Reported as group

Quality

35.47

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Apa Medical Group, Inc.

  • Anesthesiology Physician
  • Camarillo, CA
  • NPI 1700596111
  Medicare reassignment NPD
• La Quality Care Anesthesia Consultants Inc

  • Anesthesiology Physician
  • Glendale, CA
  • NPI 1427470053
  Medicare reassignment NPD
• Ventura County Anesthesia Medical Group, Inc.

  • Anesthesiology Physician
  • Ventura, CA
  • NPI 1679837645
  Medicare reassignment NPD
• Mark Shafa MD Inc

  • Anesthesiology Physician
  • Beverly Hills, CA
  • NPI 1801414776
  NPD Authorized official
• Apmc Medical Group Inc

  • Anesthesiology Physician
  • Los Angeles, CA
  • NPI 1184592982
  NPD (past)
• National Ambulatory Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Los Gatos, CA
  • NPI 1649500950
  NPD (past)

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359676800000",
    "number": "1891845400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8500, LOCKBOX 7642",
            "address_2": "SHRINERS HOSPITALS FOR CHILDREN LOS ANGELES",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191787642",
            "telephone_number": "813-281-8478",
            "fax_number": "813-281-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 GENEVA ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201117",
            "telephone_number": "213-368-3338",
            "fax_number": "213-368-3314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFA",
        "first_name": "MARK",
        "middle_name": "MAHBOD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2013-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A61060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doris Shadrooz, PT
• Sydney Rae Shaevel, MFT
• Shafa Physical Therapy, Sport Injury and Rehabilitation Center, Inc.
• Bob Babak Shafa, MD
• Farhad Shafa, DDS
• Shadi Shafagh
• Neda Shafaghi, M.D.
• Judy Eileen Shafer
• Aysa Shaffer, MS, BCBA
• Benjamin Shaffer, SLP

• Anesthesiology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.