SHAHAB MAHBOUBIAN, DO, INC.
NPI 1033467428
Specialist in North Hollywood, CA

Active since August 16, 2012
10640 RIVERSIDE DR, NORTH HOLLYWOOD, CA 91602(818) 755-6500(818) 755-8904 Get Directions Write a Review

NPPES record last updated: August 16, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shahab Mahboubian, Do, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAHAB MAHBOUBIAN, DO, INC. (NPI 1033467428) is a healthcare organization registered as a specialist in North Hollywood, California and active in the NPI registry since August 2012. The organization lists Shahab Mahboubian, President, as its authorized official.

NPPES Registry Identity

NPI1033467428
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSHAHAB MAHBOUBIAN, DO, INC.
Location Address10640 RIVERSIDE DRNorth Hollywood, CA 91602-2319
Mailing Address10640 Riverside DrNorth Hollywood, CA 91602-2319 · (818) 755-6500 · Fax (818) 755-8904
Fax(818) 755-8904
Organization SubpartNo
Authorized OfficialShahab MahboubianPresident · (818) 209-6528
Enumeration DateAugust 16, 2012
✔ NPI 1033467428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · 20A10721
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
10640 RIVERSIDE DR, North Hollywood, CA 91602

Other Identifiers 1

Medicare UPINEK237A

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shahab Mahboubian, Do, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20130410000423Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Shahab Mahboubian, Do, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Orthopedic Surgery
NPI 1144439316
10640 RIVERSIDE DRIVE
North Hollywood, CA 91602
(818) 755-6500
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1578188181
110 S ADAMS ST
Glendale, CA 91205
(818) 242-4426
✔ PECOS✔ Accepts Medicare7.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shahab Mahboubian, Do, Inc.'s NPI number?

The NPI number for Shahab Mahboubian, Do, Inc. is 1033467428. It was assigned to this organization in the NPPES registry on August 16, 2012.

Where is Shahab Mahboubian, Do, Inc. located?

Shahab Mahboubian, Do, Inc. is located at 10640 Riverside Dr, North Hollywood, CA 91602. The listed phone number is (818) 755-6500.

What is Shahab Mahboubian, Do, Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Shahab Mahboubian, Do, Inc. enrolled in Medicare?

Yes. Shahab Mahboubian, Do, Inc. is registered in the Medicare PECOS enrollment system.

When is Shahab Mahboubian, Do, Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Shahab Mahboubian, Do, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Shahab Mahboubian, Do, Inc., in Orthopedic Surgery and Podiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Shahab Mahboubian, Do, Inc. was last updated on August 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.