SHERVIN SHAMTOUB D.P.M. INC (NPI# 1700225315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700225315 |
| Entity Type | Organization |
| Organization Name | SHERVIN SHAMTOUB D.P.M. INC |
| Practice Address |
1401 S Grand Ave Los Angeles CA 90015 |
| Mailing Address |
5632 Van Nuys Blvd Unit 1527 Sherman Oaks CA 91401-4602 |
| Practice Telephone | 8184162919 |
| Mailing Telephone | 8184162919 |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2020-05-21 |
| Authorized Official Name | DR. SHERVIN SHAMTOUB (PRESIDENT) |
| Authorized Official Telephone | 8184162919 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
E4734 | CA | Podiatric Medicine & Surgery Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1400 Colorado Blvd, Eagle Rock, CA 900412321 | 8184162919 |
| Street Address |
1401 S GRAND AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609872662 | California Hospital Radiology Medical Group PC | Specialist | 1401 S Grand Ave, Los Angeles, CA 90015-3010 | 2005-06-23 |
| 1598364804 | Katherine Ruiz Rossi | Student in an Organized Health Care Education/Training Program | 1401 S Grand Ave, Los Angeles, CA 90015-3010 | 2020-10-19 |
| 1548883911 | Giovani Valentin Cruz Cruz | Student in an Organized Health Care Education/Training Program | 1401 S Grand Ave, Los Angeles, CA 90015-3010 | 2020-05-20 |
| 1134742604 | Layla Nina Farrahi | Student in an Organized Health Care Education/Training Program | 1401 S Grand Ave, Los Angeles, CA 90015-3010 | 2020-05-19 |
| 1649893108 | Juliana Jones | Student in an Organized Health Care Education/Training Program | 1401 S Grand Ave, Los Angeles, CA 90015-3010 | 2020-05-19 |
| 1578186037 | Elizabeth Lisa Lee | Student in an Organized Health Care Education/Training Program | 1401 S Grand Ave, Los Angeles, CA 90015-3010 | 2020-05-19 |
| 1104455625 | Nyree Minatsaghanian | Registered Nurse | 1401 S Grand Ave, Los Angeles, CA 90015-3010 | 2020-04-06 |
| 1639714561 | Katherine H Park | Occupational Therapist | 1401 S Grand Ave, Los Angeles, CA 90015-3010 | 2019-11-14 |
| 1215572110 | Brittany Richardson | Social Worker | 1401 S Grand Ave, Los Angeles, CA 90015-3010 | 2019-11-14 |
| 1356985311 | Ran Chu | Occupational Therapist | 1401 S Grand Ave, Los Angeles, CA 90015-3010 | 2019-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184224156 | Via Care Community Health Center | Clinic/Center | 400 West Washington Blvd., The Hub D3-room 107, Los Angeles, CA 90015 | 2020-10-29 |
| 1225650955 | Luis Alvarado | Student in an Organized Health Care Education/Training Program | 1150 S. Olive Street, Suite 1400, Los Angeles, CA 90015 | 2020-05-15 |
| 1386290385 | Amy M Powell | Student in an Organized Health Care Education/Training Program | 1140 S.olive Street Ste #1427, Los Angeles, CA 90015 | 2019-08-15 |
| 1881170199 | Angie Andreina Trias Sanchez | Student in an Organized Health Care Education/Training Program | 936 S Olive St Apt 154, Los Angeles, CA 90015 | 2018-07-19 |
| 1083148753 | Central Neighborhood Health Foundation - Fontana | Clinic/Center | 714 W. Olympic Blvd Suite # 801, Los Angeles, CA 90015 | 2017-04-19 |
| 1255871711 | Ethan Lin | Student in an Organized Health Care Education/Training Program | 1401 S. Grand Ave. Suite 101, Residency Program, Los Angeles, CA 90015 | 2017-03-03 |
| 1972055093 | Yvonne Perez | Social Worker | 1150 South Hill St, Suite H-375, Los Angeles, CA 90015 | 2016-10-25 |
| 1356896492 | Mayano Ochi | Midwife | 1513 S Grand Ave Ste 250, Los Angeles, CA 90015 | 2016-08-18 |
| 1518321686 | Cielo Reyna-donaldson | Registered Nurse | 1520 South Olive Street, Los Angeles, CA 90015 | 2016-04-05 |
| 1891175774 | Amanecer Community Counseling Service | Community/Behavioral Health | 1500 S Olive St Rm 506, Los Angeles, CA 90015 | 2015-06-04 |
| Find all providers in zip 90015 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780215210 | Albert Elhiani Dpm Inc | Podiatrist | 9340 W Pico Blvd Ste 2, Los Angeles, CA 90035-1255 | 2020-02-03 |
| 1184285090 | Marcela Leticia Orellana Galvez | Podiatrist | 11301 Wilshire Blvd Bldg 500, Dept of Surgery, #10-h-2, Los Angeles, CA 90073 | 2019-06-23 |
| 1467960690 | Jonathan Tavakoli | Podiatrist | 11932 Goshen Ave Ph 1, Los Angeles, CA 90049-7309 | 2018-01-22 |
| 1356899231 | Tehrani Foot and Ankle, Inc. | Podiatrist | 2514 S Central Ave, Los Angeles, CA 90011-1635 | 2016-09-20 |
| 1316301807 | Lucas Hultman | Podiatrist | 100 Ucla Medical Plaza Suite 460, Los Angeles, CA 90095 | 2016-04-11 |
| 1164887048 | University Foot & Ankle Institute Podiactric Surgical Center | Podiatrist | 5230 Pacific Concourse Drive, Suite 100, Los Angeles, CA 90045 | 2015-12-21 |
| 1447670955 | New Hope Podiatry Group Inc. | Podiatrist | 3612 1/2 E. First Street, Los Angeles, CA 90063-2326 | 2014-04-23 |
| 1275974487 | Anthony Cannizzaro | Podiatrist | 3158 Federal Ave, Los Angeles, CA 90066-1225 | 2013-07-16 |
| 1235576968 | Jim Kasha | Podiatrist | 3016 Waverly Dr, Suite 308, Los Angeles, CA 90039-2052 | 2013-06-04 |
| 1285993451 | Benjamin Tehrani | Podiatrist | 2514 S. Central Avenue, Los Angeles, CA 90011 | 2012-05-09 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90015 |
Please comment or provide details below to improve the information on SHERVIN SHAMTOUB D.P.M. INC.
| 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.