SHOHREH NOUROLLAH PA
NPI 1396954079
Physician Assistant in Los Angeles, CA
About Shohreh Nourollah Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHOHREH NOUROLLAH PA (NPI 1396954079) is an individual physician assistant in Los Angeles, California, licensed in California (PA16960) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2002).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Shohreh Nourollah Pa 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90035 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Shohreh Nourollah's NPI number?
The NPI number for Shohreh Nourollah is 1396954079. It was assigned to this individual provider in the NPPES registry on May 21, 2007. The provider is also known as Shohreh Nourollah PA.
Where is Shohreh Nourollah located?
Shohreh Nourollah practices at 1741 S Bedford St, Los Angeles, CA 90035. The listed phone number is (310) 497-6666.
What is Shohreh Nourollah's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Shohreh Nourollah enrolled in Medicare?
Yes. Shohreh Nourollah 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.
When was this NPI record last updated?
The NPPES record for Shohreh Nourollah was last updated on March 6, 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.
# Shohreh Nourollah, PA · NPI 1396954079
Physician Assistant physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since May 21, 2007.
## Identity
- **NPI:** 1396954079 (Entity type: Individual)
- **Enumerated:** May 21, 2007
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** PA16960 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1741 S BEDFORD ST, Los Angeles, CA 90035-4320
- **Phone:** (310) 497-6666
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** March 6, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1396954079) · Data from the CMS NPPES public registry.