Shahla Modarresi Motamedi, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

A41382 Issued in CA

Practice address

11301 Wilshire Blvd
West la V.a. Hospital.,Imaging Dept.,BLDG 500,Room 0608
Los Angeles, CA 90073-1003

Phone

(310) 268-3591

Fax

(310) 575-6665

NPI assigned

Aug 31, 2006

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932211067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 GEORGINA AVE",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904021618",
            "telephone_number": "310-458-0050",
            "fax_number": "310-575-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11301 WILSHIRE BLVD",
            "address_2": "WEST LA V.A. HOSPITAL.,IMAGING DEPT.,BLDG 500,ROOM 0608",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900731003",
            "telephone_number": "310-268-3591",
            "fax_number": "310-575-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTAMEDI",
        "first_name": "SHAHLA",
        "middle_name": "MODARRESI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A41382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shahriar Motamed, DDS
• Motamedi & Modarresi a Professional Corporation
• Kambiz Motamedi, MD
• Maya Motamedi, DC
• Mona Motamedi, MD
• Lyndsey Motarefi, LMFT
• Georges Motchoffo Simo
• Alexandra N Moten, FNP
• Ava Moten
• Mother Nurture Wellness and Acupuncture

• Diagnostic Radiology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.