Individual provider Active NPI

Shawdi Manouchehr-Pour, M.D.

  • Diagnostic Radiology Physician
  • Los Angeles, CA
National Provider Identifier
1932553674
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A152089 Issued in CA
Practice address
1500 San Pablo St FL 2
Los Angeles, CA 90033-5313
Phone
(323) 442-8541
NPI assigned
Apr 19, 2016
Last updated
Aug 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A152089 CA Primary

Addresses

Primary practice location

1500 San Pablo St FL 2
Los Angeles, CA 90033-5313

Mailing address

PO Box 31309
Los Angeles, CA 90031-0309
Phone (323) 442-8541

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shawdi.manouchehr-pour@direct.usc.edu Direct USC CARE MEDICAL GROUP, INC

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
I20200409001141 CA Practitioner - Diagnostic Radiology 7214366483 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Virginia Commonwealth University, School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiant Imaging IncGroup PAC ID 7113145558, 65 clinicians

Practice addresses (Care Compare)

625 S Fair Oaks Ave
Suite 180
Pasadena, CA 91105-2643
Phone (626) 229-8969

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Huntington Medical Foundation Diagnostic Radiology CurrentSince Feb 12, 2024 Accepting new patients
Insight Health Corp Diagnostic Radiology CurrentSince Jun 22, 2022 Accepting new patients
Children's Hospital Los Angeles Medical Group, Inc. CurrentSince Sep 19, 2020 Accepting new patients
County of Los Angeles CurrentSince Apr 1, 2020 Accepting new patients
Kern County Hospital Authority CurrentSince Jul 1, 2021 Accepting new patients
Kern County Hospital Authority CurrentSince Jul 1, 2021 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Jun 1, 2021 Accepting new patients
County of Los Angeles CurrentSince Apr 1, 2020 Accepting new patients
Radiant Imaging, Inc. Diagnostic Radiology CurrentSince Feb 12, 2024 Accepting new patients
County of Los Angeles CurrentSince Aug 10, 2025 Accepting new patients
Palms Imaging Medical Group Diagnostic Radiology CurrentSince Jun 29, 2021 Accepting new patients
County of Los Angeles Current Accepting new patients
Usc Care Medical Group, Inc Diagnostic Radiology CurrentSince Jun 1, 2021 Accepting new patients
Usc Radiology Associates PastSince Jul 4, 2021 Accepting new patients
Huntington Medical Foundation Past Accepting new patients
The Huntington Medical Foundation Past Accepting new patients

Locations

1000 S Fremont Ave
Bldg A11
Alhambra, CA 91803
Phone (626) 457-4240

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

1108 N Oleander Ave
Compton, CA 90222
Phone (310) 763-2244

123 W Manchester Blvd
Inglewood, CA 90301
Phone (310) 419-5325

1500 San Pablo St
Fl 2
Los Angeles, CA 90033
Phone (323) 442-8541

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

1670 E 120th St
Los Angeles, CA 90059
Phone (424) 338-1000

4650 W Sunset Blvd
Los Angeles, CA 90027
Phone (323) 361-2122

1901 Outlet Center Dr
Ste 120
Oxnard, CA 93036
Phone (805) 357-0067

100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445

625 S Fair Oaks Ave
Ste 140
Pasadena, CA 91105
Phone (626) 698-7240

625 S Fair Oaks Ave
Ste 180
Pasadena, CA 91105
Phone (626) 229-8969

65 N Madison Ave
Ste 800
Pasadena, CA 91101
Phone (626) 792-3141

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

14445 Olive View Dr
Rm 2B182
Sylmar, CA 91342
Phone (747) 210-3000

7515 Van Nuys Blvd
Van Nuys, CA 91405
Phone (818) 627-3000

Interoperability endpoints

  • Direct secure messaging: shawdi.manouchehr-pour@direct.usc.edu

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1932553674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31309",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900310309",
            "telephone_number": "323-442-8541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SAN PABLO ST FL 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900335313",
            "telephone_number": "323-442-8541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANOUCHEHR-POUR",
        "first_name": "SHAWDI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-19",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A152089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shawdi.manouchehr-pour@direct.usc.edu",
            "affiliation": "Y",
            "affiliationName": "USC CARE MEDICAL GROUP, INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1500 San Pablo St Fl 2",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900335313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.