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
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.
Title
President
Phone
(818) 817-9832

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

Other identifiers 1

IdentifierTypeStateIssuer
00A386640MedicaidCA

National Provider Directory

National Provider Directory

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A386640",
            "state": "CA"
        }
    ],
    "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.