Pouya Shafipour (NPI# 1952426454, PAC ID# 0345332565) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1952426454 |
| PAC ID by PECOS | 0345332565 |
| Professional Enrollment ID | I20070817000322 |
| Full Name | Pouya Shafipour |
| Organization Legal Name | PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION |
| Address |
1821 Wilshire Blvd Suite 301 Santa Monica CA 90403-5679 |
| Phone Number | 3108286027 |
| Gender | M |
| Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0840548624 |
| Number of Group Practice Members | 198 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050290 | PROVIDENCE SAINT JOHN'S HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1821 Wilshire Blvd, Suite 301, Santa Monica, CA 90403-5679 | 3108286027 | PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION |
| Organization Legal Name | PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION |
| Physicians | 200 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Teresa Chialin Liu | Internal Medicine | Providence Saint Johns Medical Foundation | 12121 Santa Monica Blvd, Los Angeles, CA 90025-2515 |
| Asad Julian Bedran | Family Medicine | Providence Saint Johns Medical Foundation | 8570 W Sunset Blvd, West Hollywood, CA 90069-2359 |
| Matthew K Nienaber | Internal Medicine | Providence Saint Johns Medical Foundation | 1821 Wilshire Blvd, Suite 100, Santa Monica, CA 90403-5627 |
| Jennifer P Carleton-nathan | Family Medicine | Providence Saint Johns Medical Foundation | 700 S Flower St, Suite 2340, Los Angeles, CA 90017-4123 |
| Meghan Moore | Physician Assistant | Providence Saint Johns Medical Foundation | 525 Broadway, Suite 1101, Santa Monica, CA 90401-2971 |
| Michelle Grotz-rhone | Internal Medicine | Providence Saint Johns Medical Foundation | 9725 Wilshire Blvd, Beverly Hills, CA 90212-2002 |
| Mina Kang | Internal Medicine | Providence Saint Johns Medical Foundation | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 |
| Carol Nishikubo | Hematology/oncology | Providence Saint Johns Medical Foundation | 12555 W Jefferson Blvd, Los Angeles, CA 90066-7032 |
| Howard Ronald Krauss | Ophthalmology | Providence Saint Johns Medical Foundation | 2125 Arizona Ave, Santa Monica, CA 90404-1337 |
| Richard L Ross | Family Medicine | Providence Saint Johns Medical Foundation | 901 Wilshire Blvd, Fl 3, Santa Monica, CA 90401-1854 |
| Street Address |
1821 WILSHIRE BLVD SUITE 301 |
| City | SANTA MONICA |
| State | CA |
| Zip | 90403-5679 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew K Nienaber | Internal Medicine | Providence Saint Johns Medical Foundation | 1821 Wilshire Blvd, Suite 100, Santa Monica, CA 90403-5627 |
| Maryam Farazha | Family Medicine | Providence Saint Johns Medical Foundation | 1821 Wilshire Blvd, Santa Monica, CA 90403-5627 |
| Layla F Sweeney | Qualified Audiologist | Serendipity Hearing Inc | 1821 Wilshire Blvd, Suite 415, Santa Monica, CA 90403-5679 |
| Arash Maghsoodi | Physical Therapy | Santa Monica Physical Therapy Inc | 1821 Wilshire Blvd, Suite 400, Santa Monica, CA 90403-5679 |
| Jennifer L Chin | Family Medicine | Providence Saint Johns Medical Foundation | 1821 Wilshire Blvd, Suite 100, Santa Monica, CA 90403-5627 |
| Shiraj Chakraborty | Physical Therapy | Santa Monica Physical Therapy Inc | 1821 Wilshire Blvd, Suite 400, Santa Monica, CA 90403-5679 |
| Traci A Eguchi | Nurse Practitioner | Providence Saint Johns Medical Foundation | 1821 Wilshire Blvd, Suite 100, Santa Monica, CA 90403-5627 |
| Mary E Mcgregor | Physical Therapy | 1821 Wilshire Blvd, Suite 610, Santa Monica, CA 90403-5671 | |
| Lily Nourmand | Family Medicine | Providence Saint Johns Medical Foundation | 1821 Wilshire Blvd, Suite 301, Santa Monica, CA 90403-5679 |
| Hanna L Hoffman | Physical Therapy | Santa Monica Physical Therapy Inc | 1821 Wilshire Blvd, Suite 400, Santa Monica, CA 90403-5679 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Curtis Dickey | Optometry | 901 Montana Ave, Santa Monica, CA 90403-1537 | |
| Phillip Herel | Physical Therapy | 1301 Montana Ave, Suite A, Santa Monica, CA 90403-1767 | |
| Patrick D Edgecomb | Physical Therapy | Vert Westside LLC | 3011 Wilshire Blvd, Santa Monica, CA 90403-2301 |
| Christopher Scott Dahl | Physical Therapy | Vert Westside LLC | 3011 Wilshire Blvd, Santa Monica, CA 90403-2301 |
| Nicola N Nakase | Physical Therapy | Vert Westside LLC | 3011 Wilshire Blvd, Santa Monica, CA 90403-2301 |
| Rashmi Bandekar | Physical Therapy | Vert Westside LLC | 3011 Wilshire Blvd, Santa Monica, CA 90403-2301 |
| Marc A Hara | Physical Therapy | Vert Westside LLC | 3011 Wilshire Blvd, Santa Monica, CA 90403-2301 |
| Minchul Jung | Physical Therapy | Vert Westside LLC | 3011 Wilshire Blvd, Santa Monica, CA 90403-2301 |
| Jennifer M Esquer | Physical Therapy | Vert Westside LLC | 3011 Wilshire Blvd, Santa Monica, CA 90403-2301 |
| Bijan Cohenmehr | Optometry | 3116 Wilshire Blvd, Santa Monica, CA 90403-2304 | |
| Find all physicians in zip 90403 | |||
| City | SANTA MONICA |
| Zip Code | 90403 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SANTA MONICA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Pouya Shafipour.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.