Organization Active NPI

Pedram Shirzad D O a Professional Corp

  • Family Medicine Physician
  • West Hills, CA
National Provider Identifier
1952510596
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A9014 Issued in CA
Legal business name
PEDRAM SHIRZAD D O A PROFESSIONAL CORP
Practice address
7230 Medical Center Dr Ste 202
West Hills, CA 91307-4006
Phone
(818) 676-0080
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Authorized official

Name
Dr. Pedram Shirzad, D.O.
Title
President
Phone
(818) 988-5999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 20A9014 CA Primary

Addresses

Primary practice location

7230 Medical Center Dr Ste 202
West Hills, CA 91307-4006

Mailing address

14624 Sherman Way
Suite 404
Van Nuys, CA 91405-2241
Phone (818) 988-5999

National Provider Directory

National Provider Directory

Locations

14624 Sherman Way
Ste 404
Van Nuys, CA 91405
Phone (818) 778-5406

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1952510596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14624 SHERMAN WAY",
            "address_2": "SUITE 404",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052241",
            "telephone_number": "818-988-5999",
            "fax_number": "818-988-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7230 MEDICAL CENTER DR STE 202",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913074006",
            "telephone_number": "818-676-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDRAM SHIRZAD D O A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "SHIRZAD",
        "authorized_official_first_name": "PEDRAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-988-5999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A9014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.