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SHAHLA ALDAVOODI
NPI 1104328384
Nurse Practitioner - Psychiatric/Mental Health in Northridge, CA

Active since March 05, 2018PECOS EnrolledAccepts Medicare Assignment
18300 ROSCOE BLVD, NORTHRIDGE, CA 91325(818) 885-8500 Get Directions Write a Review

NPPES record last updated: June 29, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 3, 2021, Mar 5, 2018 (2 updates tracked since 2018).

About Shahla Aldavoodi NPPES

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

SHAHLA ALDAVOODI (NPI 1104328384) is an individual psychiatric/mental health provider in Northridge, California, licensed in California (95015696) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1104328384
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSHAHLA ALDAVOODI
Location Address18300 ROSCOE BLVDNorthridge, CA 91325-4105
Mailing Address19412 Cantara StReseda, CA 91335-1007 · (818) 749-9087
Phone(818) 885-8500
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 5, 2018
Last NPPES UpdateJune 29, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2021
✔ NPI 1104328384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95015696
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 95015696 (CA)
18300 ROSCOE BLVD, Northridge, CA 91325
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shahla Aldavoodi is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052726007
PECOS Enrollment IDI20210224002946
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Shahla Aldavoodi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
1.9 mi
Health Maintenance Organization
8999 BALBOA BLVD
Northridge, CA 91325
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1013409036 (877) 608-0044

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91325 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAREN MOLINA
Counselor (Addiction (Substance Use Disorder))
18300 ROSCOE BLVD
NORTHRIDGE, CA 91325
Los Angeles County (818) 996-1051
SABA GAFFAR, MD, INC.
Pediatrics (Neonatal-Perinatal Medicine)
18300 ROSCOE BLVD
NORTHRIDGE, CA 91325
Los Angeles County (818) 885-8500
MRS. MICHELLE PAIGE BIRDSALL FNP
Nurse Practitioner
18300 ROSCOE BLVD
NORTHRIDGE, CA 91325
Los Angeles County (818) 885-8500
DOMINICK REY AMPARANO
Nurse Practitioner (Family)
18300 ROSCOE BLVD
NORTHRIDGE, CA 91325
Los Angeles County (818) 885-8500
RIFFAT KHAN
Nurse Practitioner (Family)
18300 ROSCOE BLVD
NORTHRIDGE, CA 91325
Los Angeles County (818) 885-3577
KAYLI VITALE
Student in an Organized Health Care Education/Training Program
18300 ROSCOE BLVD
NORTHRIDGE, CA 91325
Los Angeles County (818) 885-8500
ANGELO SORIANO N.P.
Nurse Practitioner
18300 ROSCOE BLVD
NORTHRIDGE, CA 91325
Los Angeles County (818) 885-8500
MARK FARNUM M.D.
Anesthesiology
18300 ROSCOE BLVD
NORTHRIDGE, CA 91325
Los Angeles County (818) 885-5375

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 Shahla Aldavoodi's NPI number?

The NPI number for Shahla Aldavoodi is 1104328384. It was assigned to this individual provider in the NPPES registry on March 5, 2018.

Where is Shahla Aldavoodi located?

Shahla Aldavoodi practices at 18300 Roscoe Blvd, Northridge, CA 91325. The listed phone number is (818) 885-8500.

What is Shahla Aldavoodi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Shahla Aldavoodi enrolled in Medicare?

Yes. Shahla Aldavoodi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Shahla Aldavoodi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shahla Aldavoodi reassigns Medicare benefits to Southern California Permanente Medical Group (Northridge, CA). The 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 Shahla Aldavoodi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shahla Aldavoodi was last updated on June 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.