DR. ARDESHIR SOROUSHYARI (NPI# 1487658811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487658811 |
| Entity Type | Individual |
| Full Name | DR. ARDESHIR SOROUSHYARI |
| Credential | M.D. |
| Practice Address |
18370 Burbank Blvd Ste 601 Tarzana CA 91356-2831 |
| Practice Telephone | 8189965700 |
| Practice Fax Number | 8189961649 |
| Mailing Telephone | 8189965700 |
| Mailing Fax Number | 8189961649 |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2009-11-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
A74069 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE CROSS OF CALIFORNIA | 95-3132732 | 01 |
| CA | RAILROAD GROUP NUMBER | T0796 | 01 |
| CA | YYY40048Y | 05 | |
| CA | MEDICARE RENDERING NUMBER | WA74069A | 01 |
| CA | RAILROAD RENDERING NUMBER | 110061982 | 01 |
| CA | BLUE SHIELD OF CALIFORNIA | YYY40048Y | 01 |
| Street Address |
18370 BURBANK BLVD STE 601 |
| City | TARZANA |
| State | CA |
| Zip Code | 91356-2831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700437241 | Michelle Roxas Tran | Nurse Practitioner | 18370 Burbank Blvd, Tarzana, CA 91356-2804 | 2019-09-26 |
| 1063886166 | Comprehensive Infectious Disease Consultants A Medical Corporation | Internal Medicine | 18370 Burbank Blvd, Ste 414, Tarzana, CA 91356-2804 | 2015-11-30 |
| 1700268372 | Tarzana Surgery Center, Inc. | Clinic/Center | 18370 Burbank Blvd, #100, Tarzana, CA 91356-2804 | 2015-06-19 |
| 1013300631 | Nicholas Michael Panagiotis, Md Inc | Specialist | 18370 Burbank Blvd, 507, Tarzana, CA 91356-2804 | 2015-03-05 |
| 1942698840 | Atif Alaziz M.d. Inc | Clinic/Center | 18370 Burbank Blvd, Suite 201, Tarzana, CA 91356-2804 | 2014-12-30 |
| 1720412281 | S S Medical Associates Inc | Ophthalmology | 18370 Burbank Blvd, Suite 207, Tarzana, CA 91356-2804 | 2013-09-02 |
| 1215272059 | Kamyar Kamjoo Md A Medical Corporation | Internal Medicine | 18370 Burbank Blvd, Suite 714, Tarzana, CA 91356-2804 | 2012-12-05 |
| 1811240989 | Shelley Susman, M.d., Inc. | Obstetrics & Gynecology | 18370 Burbank Blvd, Suite 100, Tarzana, CA 91356-2804 | 2012-10-26 |
| 1952675373 | Daryl P. Alexander, Md Apc | Obstetrics & Gynecology | 18370 Burbank Blvd, 100, Tarzana, CA 91356-2804 | 2012-03-02 |
| 1720387814 | Elizabeth Jenkins | Pediatrics | 18370 Burbank Blvd, 204, Tarzana, CA 91356-2804 | 2011-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679137293 | Sarah Badreau | Behavior Technician | 5554 Reseda Blv., Tarzana, CA 91356 | 2019-04-29 |
| 1831661966 | Daraie Dental Group Inc | Dentist | 5620 Wilbur Avenue Ste 300, Tarzana, CA 91356 | 2018-12-31 |
| 1982182770 | Blanca Garay | Respiratory Therapist, Registered | 18214 Burbank Blvd Apt 120, Tarzana, CA 91356 | 2018-08-02 |
| 1437659000 | Chloe Kang | Speech-Language Pathologist | 19019 Ventura Blvd., Tarzana, CA 91356 | 2018-02-20 |
| 1114430139 | Avb & Lv Corporation | Home Health | 18340 Ventura Blvd Ste 220, Tarzana, CA 91356 | 2017-11-13 |
| 1881110468 | Samina Qadir | Registered Nurse | 18321 Clark St., Tarzana, CA 91356 | 2017-08-16 |
| 1700306776 | Debbie Rehman Lux | Marriage & Family Therapist | 18370 Burbank Blvd., Suite 211, Tarzana, CA 91356 | 2017-06-21 |
| 1467980631 | Valley Nerological Services, LLC | Radiology | 5260 Wilbur Ave Ste 207, Tarzana, CA 91356 | 2017-05-31 |
| 1669906020 | Evolve Growth Initiatives LLC | Clinic/Center | 5435 Aura Avenue, Tarzana, CA 91356 | 2017-04-12 |
| 1780130088 | Evolve Growth Initiatives, LLC | Clinic/Center | 5358 Vanalden Drive, Tarzana, CA 91356 | 2016-08-28 |
| Find all providers in zip 91356 | ||||
| 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 |
|---|---|---|---|---|
| 1144400524 | Calvin Ezrin Md, A Medical Corporation | Internal Medicine | 18372 Clark Street, Suite 226, Tarzana, CA 91356-3508 | 2007-11-14 |
| 1649310277 | Stuart Beryl Kramer | Internal Medicine | 5530 Corbin Ave Ste 260, Tarzana, CA 91356-6030 | 2007-02-06 |
| 1891792073 | Burton S Sklarin | Internal Medicine | 3988 Ellenita Ave, Tarzana, CA 91356-5414 | 2005-07-04 |
| 1093710345 | Mark L Geller | Internal Medicine | 18133 Ventura Blvd, Suite 204, Tarzana, CA 91356-3641 | 2005-06-14 |
| 1396048625 | Paul Sogol Md Inc | Internal Medicine | 18840 Ventura Blvd Ste 207, Tarzana, CA 91356-3381 | 2010-12-08 |
| 1538235718 | Paul Barry Sogol | Internal Medicine | 18840 Ventura Blvd Ste 207, Tarzana, CA 91356-3381 | 2006-11-28 |
| 1033227970 | Tarzana Pediatric Medical Group Inc | Internal Medicine | 18370 Burbank Blvd, Suite #204, Tarzana, CA 91356-2851 | 2006-08-29 |
| 1811902786 | Norman Lavin | Internal Medicine | 18370 Burbank Blvd, Suite #204, Tarzana, CA 91356-2851 | 2006-07-29 |
| 1063453769 | Yehuda Handelsman | Internal Medicine | 18372 Clark St, Suite 212, Tarzana, CA 91356-3508 | 2006-06-10 |
| 1396740627 | Atif Jameel Alaziz | Internal Medicine | 18370 Burbank Blvd, Ste 201, Tarzana, CA 91356-2831 | 2005-06-14 |
| Find all providers in TARZANA | ||||
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| 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.