DR. NISSAR SHAH (NPI# 1407078215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407078215 |
| Entity Type | Individual |
| Full Name | DR. NISSAR SHAH |
| Credential | M.D |
| Practice Address |
3265 S. Sepulveda Blvd. #208 Los Angeles CA 90034 |
| Practice Telephone | 3103909317 |
| Practice Fax Number | 3104230440 |
| Mailing Telephone | 3103909317 |
| Mailing Fax Number | 3104230440 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
A84201 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
3265 S. SEPULVEDA BLVD. #208 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518582014 | Pdi Health Ca LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3415 South Sepulveda Blvd Ste 1100, Los Angeles, CA 90034 | 2020-06-10 |
| 1154888063 | Lanmc Corporation | Community/Behavioral Health | 1920 S. Robertson Blvd., Los Angeles, CA 90034 | 2019-02-27 |
| 1841799400 | Benjamin Kerneves | Physical Therapist | 3637 Clarington Ave, Los Angeles, CA 90034 | 2018-02-08 |
| 1497274799 | Nancy Mcdonald | Counselor | 9854 National Blvd., #493, Los Angeles, CA 90034 | 2017-09-18 |
| 1063931608 | Alexa Rohach | Physical Therapist | 3710 Midvale Ave, Unit 109, Los Angeles, CA 90034 | 2017-09-14 |
| 1225551807 | Bts Outpatient LLC | Counselor | 8847 Venice Blvd, Los Angeles, CA 90034 | 2017-07-25 |
| 1316467400 | Clarissa Green | Rehabilitation Counselor | Vista Del Mar 3200 Motor Ave, Los Angeles, CA 90034 | 2017-06-21 |
| 1245789940 | Genesis Psychology Group, Inc. | Psychologist | 3611 Motor Ave., Suite 240, Los Angeles, CA 90034 | 2016-09-23 |
| 1245787712 | Mahsa Harati | Dentist | 3670 Glendon Ave, Apt # 204, Los Angeles, CA 90034 | 2016-09-01 |
| 1134675440 | Noelle Antoinette Avellino | Social Worker | 3384 Motor Ave., Los Angeles, CA 90034 | 2016-08-28 |
| Find all providers in zip 90034 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366061863 | Karen L. Herbst, Md, PC | Internal Medicine | 12381 Wilshire Blvd Ste 202, Los Angeles, CA 90025-1063 | 2020-04-14 |
| 1245626712 | Kyrstin Lynnice Lane | Internal Medicine | 700 W 7th St Ste S-270d, Los Angeles, CA 90017-3768 | 2015-04-12 |
| 1982907010 | Carol B Teutsch | Internal Medicine | 841 Moon Ave, Los Angeles, CA 90065-4143 | 2010-12-12 |
| 1851694079 | Harry Weisman, M.d., F.a.c.p. | Internal Medicine | 100 Ucla Medical Plz Ste 220, Los Angeles, CA 90024-7004 | 2010-12-09 |
| 1851624878 | Medical and Behavioral Consultants, Inc | Internal Medicine | 415 Gayley Ave, Apt #304, Los Angeles, CA 90024-2008 | 2009-09-09 |
| 1437380789 | Sina Tebi | Internal Medicine | 10519 Tennessee Ave, Los Angeles, CA 90064-2327 | 2009-08-04 |
| 1497914550 | Ines Donangelo | Internal Medicine | 200 Medical Plaza #530, Los Angeles, CA 90095-5442 | 2008-06-04 |
| 1356462808 | Rashmi S Mullur | Internal Medicine | 8700 Beverly Blvd, Suite B-131, Division of Endocrinology Cedars Sinai Medical Center, Los Angeles, CA 90048 | 2007-04-03 |
| 1952485773 | Han Kyu Suh | Internal Medicine | 4220w 3rd St, Los Angeles, CA 90020 | 2006-10-25 |
| 1750470134 | La Clinic of Medicine Genetics and Preventive Care | Internal Medicine | 369 N Fairfax Ave Ste 2, Los Angeles, CA 90036-2175 | 2006-10-12 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90034 |
Please comment or provide details below to improve the information on DR. NISSAR SHAH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.