Individual provider Active NPI

Soheil Lahijani, MD

  • Plastic Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1992852784
Registry record updated Nov 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
A103147 Issued in CA
Practice address
2080 Century Park E Ste 501
Los Angeles, CA 90067-2008
Phone
(310) 550-6886
Fax
(310) 550-6875
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X A103147 CA
Plastic Surgery Physician 208200000X A103147 CA Primary

Addresses

Primary practice location

2080 Century Park E Ste 501
Los Angeles, CA 90067-2008

Mailing address

2080 Century Park E Ste 501
Los Angeles, CA 90067-2008
Phone (310) 550-6886

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fountain Resources, Inc. PastSince Dec 22, 2009 Accepting new patients
Ava T Shamban MD Inc PastSince Jul 18, 2010 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510617600000",
    "number": "1992852784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E STE 501",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672008",
            "telephone_number": "310-550-6886",
            "fax_number": "310-550-6875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E STE 501",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672008",
            "telephone_number": "310-550-6886",
            "fax_number": "310-550-6875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAHIJANI",
        "first_name": "SOHEIL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2017-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "A103147",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A103147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2017; 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.