Advanced Medical & Surgical Ventures Corporation

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

ADVANCED MEDICAL & SURGICAL VENTURES CORPORATION

Practice address

217 S Glendale Ave
Glendale, CA 91205-1713

Phone

(818) 547-6000

NPI assigned

May 15, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Homayoun Sharim, MDNPI 1033145701

Title

Owner

Phone

(310) 625-6642

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Homayoun Sharim, M.D.

  • Internal Medicine Physician
  • Beverly Hills, CA
  • NPI 1033145701
  Medicare reassignment NPD Authorized official
• Justin David Sharim, MD

  • Cardiovascular Disease Physician
  • Beverly Hills, CA
  • NPI 1376070789
  Medicare reassignment NPD

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

{
    "created_epoch": "1494806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604966400000",
    "number": "1972030427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16758",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902092758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 S GLENDALE AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051713",
            "telephone_number": "818-547-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDICAL & SURGICAL VENTURES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-15",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A",
        "authorized_official_last_name": "SHARIM",
        "authorized_official_first_name": "HOMAYOUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-625-6642",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cardiovascular Disease Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.