Organization Active NPI

Amir a Sheikholeslam M.D. a Medical Corporation

  • Anesthesiology Physician
  • Los Angeles, CA
National Provider Identifier
1902013444
Registry record updated Aug 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A38664 Issued in CA
Legal business name
AMIR A SHEIKHOLESLAM M.D. A MEDICAL CORPORATION
Practice address
2856 Bottlebrush Dr
Los Angeles, CA 90077-2022
Phone
(818) 817-9832
Fax
(818) 817-9835
NPI assigned
May 16, 2007
Last updated
Aug 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2013

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

Authorized official

Name
Amir A Sheikholeslam, M.D.NPI 1215144746
Title
President
Phone
(818) 817-9832

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X A38664 CA Primary

Addresses

Primary practice location

2856 Bottlebrush Dr
Los Angeles, CA 90077-2022

Mailing address

2856 Bottlebrush Dr
Los Angeles, CA 90077-2022
Phone (818) 817-9832

National Provider Directory

National Provider Directory

Locations

99 N La Cienega Blvd
Ste 102
Beverly Hills, CA 90211
Phone (310) 360-7368

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377043200000",
    "number": "1902013444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2856 BOTTLEBRUSH DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900772022",
            "telephone_number": "818-817-9832",
            "fax_number": "818-817-9835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2856 BOTTLEBRUSH DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900772022",
            "telephone_number": "818-817-9832",
            "fax_number": "818-817-9835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMIR A SHEIKHOLESLAM M.D. A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2013-08-21",
        "status": "A",
        "authorized_official_last_name": "SHEIKHOLESLAM",
        "authorized_official_first_name": "AMIR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-817-9832",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A38664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.