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BRACHA SHAHAM MD
NPI 1184710097
Pediatrics - Pediatric Rheumatology in Los Angeles, CA

Active since October 05, 2006PECOS Enrolled
4650 W SUNSET BLVD, MS# 60, LOS ANGELES, CA 90027(323) 669-2119(323) 663-9694 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bracha Shaham Md NPPES

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

BRACHA SHAHAM MD (NPI 1184710097) is an individual pediatric rheumatology provider in Los Angeles, California, licensed in California (A37643) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184710097
Entity TypeIndividualFemale
Primary Taxonomy2080P0216X
Provider Legal NameBRACHA SHAHAMCredential: MD
Location Address4650 W SUNSET BLVD, MS# 60Los Angeles, CA 90027-6062
Mailing Address6430 W Sunset Blvd, Suite 600Los Angeles, CA 90028-7901 · (323) 669-2337 · Fax (323) 644-8488
Phone(323) 669-2119
Fax(323) 663-9694
Sole ProprietorNo
Enumeration DateOctober 5, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1184710097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0216X
License✔ Licensed in CA · A37643
Definition
A pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
4650 W SUNSET BLVD, Los Angeles, CA 90027
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Other Identifiers 3

Medicare ID-Type UnspecifiedWA376430CA
Medicare UPINE96818CA
Medicaid00A376430CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bracha Shaham Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

DR. MARK HENDRIK CORDEN M.D.
Pediatrics
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 361-8893
MS. ROBERTA MIYEKO KATO MD
Pediatrics (Pediatric Pulmonology)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 361-2101
CHILDREN'S HOSPITAL LOS ANGELES
General Acute Care Hospital (Children)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 361-3644
JESSICA ELIZABETH GREIM DPT, PT
Physical Therapist (Pediatrics)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (310) 361-2118
MOLLY CEVASCO PH.D., BCBA
Psychologist (Clinical Child & Adolescent)
4650 W SUNSET BLVD, MS #53
LOS ANGELES, CA 90027
Los Angeles County (323) 361-3849
GINNY KIM THAN NP
Nurse Practitioner (Pediatrics)
4650 W SUNSET BLVD, MS #81
LOS ANGELES, CA 90027
Los Angeles County (323) 361-3033
DOUGLAS SHAPIRO MD
Pediatrics (Pediatric Emergency Medicine)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 660-2450
ALEXANDRA LYNN JOSTES MD
Student in an Organized Health Care Education/Training Program
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 361-2122

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 Bracha Shaham's NPI number?

The NPI number for Bracha Shaham is 1184710097. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Bracha Shaham located?

Bracha Shaham practices at 4650 W Sunset Blvd Ms# 60, Los Angeles, CA 90027. The listed phone number is (323) 669-2119.

What is Bracha Shaham's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Rheumatology, with taxonomy code 2080P0216X.

Is Bracha Shaham enrolled in Medicare?

Yes. Bracha Shaham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bracha Shaham was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.