Individual provider Active NPI

Samir Shahin, MD

  • General Practice Physician
  • Los Angeles, CA
National Provider Identifier
1912010844
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
G53276 Issued in CA
Practice address
8930 S Sepulveda Blvd
Suite 200
Los Angeles, CA 90045-3606
Phone
(310) 641-8111
Fax
(310) 667-7274
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G53276 CA
General Practice Physician 208D00000X G53276 CA Primary

Addresses

Primary practice location

8930 S Sepulveda Blvd
Suite 200
Los Angeles, CA 90045-3606

Mailing address

8930 S Sepulveda Blvd
Suite 200
Los Angeles, CA 90045-3606
Phone (310) 641-8111

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080429000466 CA Practitioner - General PracticePractitioner - Other (Physician)Practitioner - Preventive MedicinePractitioner - Family Practice 7810075082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Family Practice, Preventive Medicine
Education
University of Southern California Keck School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Expresscare Medical Clinic IncGroup PAC ID 4284712456, 2 clinicians

Practice addresses (Care Compare)

8930 S Sepulveda Blvd
Suite 200
Los Angeles, CA 90045-3624
Phone (310) 641-8111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G53276CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Expresscare Medical Clinic Inc General Practice CurrentSince Feb 15, 2008 Accepting new patients
Prime Healthcare Centinela, LLC Past Accepting new patients

Locations

8930 S Sepulveda Blvd
Ste 200
Los Angeles, CA 90045
Phone (310) 641-8111

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1912010844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8930 S SEPULVEDA BLVD",
            "address_2": "SUITE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453606",
            "telephone_number": "310-641-8111",
            "fax_number": "310-667-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8930 S SEPULVEDA BLVD",
            "address_2": "SUITE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453606",
            "telephone_number": "310-641-8111",
            "fax_number": "310-667-7274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHIN",
        "first_name": "SAMIR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G53276",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G53276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.