Individual provider Active NPI

Shahriar Bamshad, MD

  • Physical Medicine & Rehabilitation Physician
  • Los Angeles, CA
National Provider Identifier
1952419558
Registry record updated Feb 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A70123 Issued in CA
Practice address
8631 W 3Rd St # 915E
Los Angeles, CA 90048-5901
Phone
(310) 423-3063
Fax
(310) 423-0154
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X A70123 CA Primary

Addresses

Primary practice location

8631 W 3Rd St # 915E
Los Angeles, CA 90048-5901

Mailing address

8631 W 3Rd St # 915E
Los Angeles, CA 90048-5901
Phone (310) 423-3063

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
I20040302000992 CA Practitioner - Physical Medicine and Rehabilitation 2163319344 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Albert Einstein College of Medicine of Yeshiva University, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Precision Occupational Medical Group IncGroup PAC ID 4183764574, 17 clinicians

Practice addresses (Care Compare)

1805 E Dyer Rd
Suite 110
Santa Ana, CA 92705-5742
Phone (949) 955-0022

7774 Cherry Ave
Fontana, CA 92336-4014
Phone (909) 355-1296

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
70123CAMDPharmacist
A70123CAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Compre Hensive Primary Care Medical Associates, Inc PastSince Feb 1, 2004 Accepting new patients
General Anesthesia Specialists Partnership Medical Group Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients

Organizations & group practices 4

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234137600000",
    "number": "1952419558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8631 W 3RD ST # 915E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485901",
            "telephone_number": "310-423-3063",
            "fax_number": "310-423-0154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8631 W 3RD ST # 915E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485901",
            "telephone_number": "310-423-3063",
            "fax_number": "310-423-0154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAMSHAD",
        "first_name": "SHAHRIAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2009-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A70123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.