Pouya Shafipour, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A89513 Issued in CA

Practice address

1831 Wilshire Blvd Ste B
Santa Monica, CA 90403-5778

Phone

(310) 400-5565

Fax

(310) 400-5566

NPI assigned

Mar 21, 2007

Last updated

Apr 19, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

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

Family Practice

Education

Loma Linda University School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Providence Saint Johns Medical FoundationGroup PAC ID 0840548624, 282 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beverly Healing Home Care, Inc Home health agency, Encino, CA, CCN 559011
• In-Home Care California Home health agency, Tarzana, CA, CCN 757071
• A&M Alliance Home Health Care, Inc. Home health agency, Woodland Hills, CA, CCN 559362
• Saint John's Health Center Hospital, Santa Monica, CA, CCN 050290

Merit-based Incentive Payment System (MIPS)

Final score

90.42 of 100Reported as group

Quality

96.07

Promoting interoperability

100

Improvement activities

40

Cost

71.98

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: pouya.shafipour.1@19041.direct.athenahealth.com
• Direct secure messaging: pshafipour749294@oc.providencedirect.org

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.

• Providence Saint Johns Medical Foundation

  dba Saint John's Physician Partners

  • Specialist
  • Santa Monica, CA
  • NPI 1770093734

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Providence Saint Johns Medical Foundation

  dba One Medical

  • Family Medicine Physician
  • Santa Monica, CA
  • NPI 1518438712
  NPD
• Motion Picture and Television Fund Medical Group Inc

  • Internal Medicine Physician
  • Woodland Hills, CA
  • NPI 1013942622
  NPD (past)
• Providence Saint John's Health Center

  • General Acute Care Hospital
  • Santa Monica, CA
  • NPI 1124026273
  NPD (past)

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

• A&M Alliance Home Health Care Inc.

  • Home Health Agency
  • Tarzana, CA
  • NPI 1902367865
  Care Compare affiliation
• Beverly Healing Home Care, Inc.

  • Home Health Agency
  • Encino, CA
  • NPI 1477003648
  Care Compare affiliation
• In-Home Health Care Support and Services LLC

  • In Home Supportive Care Agency
  • Tarzana, CA
  • NPI 1386248318

  Home health agency

  Care Compare affiliation
• Providence Saint John's Health Center

  • General Acute Care Hospital
  • Santa Monica, CA
  • NPI 1124026273
  Care Compare affiliation

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1952426454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 WILSHIRE BLVD STE B",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035778",
            "telephone_number": "310-400-5565",
            "fax_number": "310-400-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 WILSHIRE BLVD STE B",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035778",
            "telephone_number": "310-400-5565",
            "fax_number": "310-400-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFIPOUR",
        "first_name": "POUYA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A89513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pshafipour749294@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "1831 Wilshire Blvd Ste B",
            "city": "Santa Monica",
            "state": "CA",
            "country_code": "US",
            "postal_code": "904035778",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pshafipour749294@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "1821 Wilshire Blvd Ste 301A",
            "city": "Santa Monica",
            "state": "CA",
            "country_code": "US",
            "postal_code": "904035679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kristin Sewnig, FNP-BC
• Begum Serena Sezer, MD
• Carolyn B. Shadduck, PH.D., PSY.D.
• Shauna Shafai
• Sina Shafiei, M.D
• Constance Shafran, PHD
• Sergei Shaginyan, L.AC
• Digish Dinesh Shah, M.D.
• Janki Bhuva Shah, MD
• Simran Shah, MD

• Family Medicine Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; 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.