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SHAHRIAR GHODSIAN MD INC
NPI 1114212388
Internal Medicine - Pulmonary Disease in Thousand Oaks, CA

Active since June 15, 2011
2100 LYNN RD, SUITE 115, THOUSAND OAKS, CA 91360(310) 854-0606(310) 914-9705 Get Directions Write a Review

NPPES record last updated: June 12, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shahriar Ghodsian Md Inc NPPES

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

SHAHRIAR GHODSIAN MD INC (NPI 1114212388) is a healthcare organization registered as a pulmonary disease in Thousand Oaks, California and active in the NPI registry since June 2011. The organization lists Shahriar Ghodsian, President, as its authorized official.

NPPES Registry Identity

NPI1114212388
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NameSHAHRIAR GHODSIAN MD INC
Location Address2100 LYNN RD, SUITE 115Thousand Oaks, CA 91360-1935
Mailing AddressPo Box 5265Beverly Hills, CA 90209-5265 · (310) 854-0606 · Fax (310) 914-9705
Phone(310) 854-0606
Fax(310) 914-9705
Organization SubpartNo
Authorized OfficialShahriar GhodsianPresident · (310) 854-0606
Enumeration DateJune 15, 2011
Last NPPES UpdateJune 12, 2014
✔ NPI 1114212388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in CA · A72696
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License A72696 (CA)
2100 LYNN RD, Thousand Oaks, CA 91360
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Other Identifiers 2

Medicaid00A726960CA
Medicare UPINH474432CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shahriar Ghodsian Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Shahriar Ghodsian MD Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Shahriar Ghodsian, MD
Pulmonary Disease
NPI 1699728410
2100 LYNN RD #115
Thousand Oaks, CA 91360
(800) 266-4761
✔ PECOS

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 Shahriar Ghodsian MD Inc's NPI number?

The NPI number for Shahriar Ghodsian MD Inc is 1114212388. It was assigned to this organization in the NPPES registry on June 15, 2011.

Where is Shahriar Ghodsian MD Inc located?

Shahriar Ghodsian MD Inc is located at 2100 Lynn Rd Suite 115, Thousand Oaks, CA 91360. The listed phone number is (310) 854-0606.

What is Shahriar Ghodsian MD Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Shahriar Ghodsian MD Inc enrolled in Medicare?

Yes. Shahriar Ghodsian MD Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shahriar Ghodsian MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pulmonary Disease) reassigns their Medicare billing to Shahriar Ghodsian MD Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Shahriar Ghodsian MD Inc was last updated on June 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.