Michael Shabtai, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

A91300 Issued in CA

Practice address

17075 Devonshire St
Suite 107
Northridge, CA 91325-1600

Phone

(818) 435-4789

Fax

(818) 363-5454

NPI assigned

Aug 2, 2006

Sex

Male

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

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

Specialty

Physical Medicine and Rehabilitation

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern California Rehabilitation Medical AssociatesGroup PAC ID 9436110533, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence Saint Joseph Medical Ctr Hospital, Burbank, CA, CCN 050235

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Michael Shabtai, M.D., Inc.

  • Physical Medicine & Rehabilitation Physician
  • Northridge, CA
  • NPI 1265691059
  Medicare reassignment NPD Authorized official
• Southern California Rehabilitation Medical Associates

  • Rehabilitation Practitioner
  • Burbank, CA
  • NPI 1487687455
  Medicare reassignment Care Compare group NPD
• Cure4Feet Podiatry Group Inc

  • Foot & Ankle Surgery Podiatrist
  • North Hollywood, CA
  • NPI 1104149269
  NPD (past)
• Providence Health System - Southern California

  • General Acute Care Hospital
  • Mission Hills, CA
  • NPI 1477587632
  NPD (past)
• Sam Sanandaji, DPM

  • Podiatric Clinic/Center
  • Los Angeles, CA
  • NPI 1518141951
  NPD (past)
• United Medical Care Center Inc.

  • Specialist
  • San Bernardino, CA
  • NPI 1467590323
  NPD (past)
• Val Ramos MD Inc

  • Internal Medicine Physician
  • Glendale, CA
  • NPI 1689838567
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Providence Health System - Southern California

  • General Acute Care Hospital
  • Burbank, CA
  • NPI 1336173269
  Care Compare affiliation

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329955200000",
    "number": "1942217021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17075 DEVONSHIRE ST",
            "address_2": "SUITE 107",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913251600",
            "telephone_number": "818-435-4789",
            "fax_number": "818-363-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17075 DEVONSHIRE ST",
            "address_2": "SUITE 107",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913251600",
            "telephone_number": "818-435-4789",
            "fax_number": "818-363-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHABTAI",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2012-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A91300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonya Jenkins Sevilla, CCC-SLP
• Patricia Jean Seymour, PH.D., SLP
• Aral M Sezginis, MD
• SFV LLC
• SH Northridge Ca Opco LLC
• Shaer Dental Corporation
• Dan Shaer, M.P.H., D.D.S.
• Shazia Shah-Allibhoy, LMFT, NCSP, CAMS
• Dhwani Shah, PHARM.D
• Hira Shah, DO

• Physical Medicine & Rehabilitation Physician in Northridge, CA
• Providers in Northridge, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.