Organization Active NPI

Shawn S Rabbani DPM Inc

  • Podiatrist
  • Reseda, CA
National Provider Identifier
1992965131
Registry record updated Mar 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E3914A Issued in CA
Legal business name
SHAWN S RABBANI DPM INC
Practice address
18909 Sherman Way Ste B
Reseda, CA 91335-7700
Phone
(818) 344-6300
Fax
(818) 774-9719
NPI assigned
Jun 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2011

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

Authorized official

Name
Nicole Pourmoussa
Title
Office Manager
Phone
(818) 344-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X E3914A CA Primary

Addresses

Primary practice location

18909 Sherman Way Ste B
Reseda, CA 91335-7700

Mailing address

18909 Sherman Way Ste B
Reseda, CA 91335-7700
Phone (818) 344-6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930015245 CA DME Supplier - Physician - Podiatry 7517087190 Practice locations: Reseda, CA
O20110428000182 CA Part B Supplier - Clinic/Group Practice 7517087190 Receives reassigned benefits from 1 practitioner
Practice locations: Artesia, CA; Reseda, CA

National Provider Directory

National Provider Directory

Locations

18909 Sherman Way
Ste 100B
Reseda, CA 91335

18909 Sherman Way
Ste B
Reseda, CA 91335
Phone (818) 344-6300

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300665600000",
    "number": "1992965131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18909 SHERMAN WAY STE B",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913357700",
            "telephone_number": "818-344-6300",
            "fax_number": "818-774-9719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18909 SHERMAN WAY STE B",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913357700",
            "telephone_number": "818-344-6300",
            "fax_number": "818-774-9719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWN S RABBANI DPM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-11",
        "last_updated": "2011-03-21",
        "status": "A",
        "authorized_official_last_name": "POURMOUSSA",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "818-344-6300"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3914A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reseda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; 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.