NPIMap

Individual provider Active NPI

Pejman David Shamekh, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1982620134
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A85239 Issued in CA
Practice address
2080 Century Park E Ste 1207
Los Angeles, CA 90067-2015
Phone
(310) 788-0074
Fax
(310) 277-3659
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A85239 CA Primary

Addresses

Primary practice location

2080 Century Park E Ste 1207
Los Angeles, CA 90067-2015

Mailing address

PO Box 6033
Beverly Hills, CA 90212-1033
Phone (310) 788-0074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050217000868 CA Practitioner - Internal Medicine 8921050915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prime 5 Medical Group IncGroup PAC ID 0941623961, 4 clinicians

Practice addresses (Care Compare)

8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone (310) 788-0074

Hospital & facility affiliations

  • Healing Care Home Health, Inc Home health agency, Glendale, CA, CCN 059135
  • Community Home Health Care Services Home health agency, Glendale, CA, CCN 059197
  • Skilled Home Health, Inc Home health agency, Downey, CA, CCN 559427
  • Universal Home Care, Inc. Home health agency, Beverly Hills, CA, CCN 557669
  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625
  • The Rehabilitation Center on Pico Nursing home, Los Angeles, CA, CCN 056377
  • Beverly Hills Rehabilitation Centre Nursing home, Los Angeles, CA, CCN 555700
  • West Hollywood Healthcare & Wellness Centre, LP Nursing home, Los Angeles, CA, CCN 055710
  • Guardian Rehabilitation Hospital Nursing home, Los Angeles, CA, CCN 056008
  • Alvarado Care Center Nursing home, Los Angeles, CA, CCN 056157

Merit-based Incentive Payment System (MIPS)

Final score
93.85 of 100Reported as group
Promoting interoperability
81
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A85239CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prime 5 Medical Group Inc CurrentSince Jun 3, 2020 Accepting new patients
Beverly Hills Cardiology Hospital Services Apc PastSince May 15, 2020 Accepting new patients

Locations

2070 Century Park E
Ste 1405
Los Angeles, CA 90067
Phone (310) 858-6500

2080 Century Park E
Ste 1207
Los Angeles, CA 90067
Phone (310) 553-2122

8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291

Organizations & group practices 2

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.

Hospital & facility affiliations 11

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

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328140800000",
    "number": "1982620134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6033",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121033",
            "telephone_number": "310-788-0074",
            "fax_number": "310-277-3659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E STE 1207",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672015",
            "telephone_number": "310-788-0074",
            "fax_number": "310-277-3659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMEKH",
        "first_name": "PEJMAN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2012-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A85239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.