SHIRAZ MEDICAL GROUP, INC
NPI 1558367649
Internal Medicine in Encino, CA

Active since June 22, 2005
16952 VENTURA BLVD, STE 100, ENCINO, CA 91316(818) 789-3964(818) 789-3967 Get Directions Write a Review

NPPES record last updated: September 11, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shiraz Medical Group, Inc NPPES

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

SHIRAZ MEDICAL GROUP, INC (NPI 1558367649) is a healthcare organization registered as an internal medicine in Encino, California and active in the NPI registry since June 2005. The organization lists Keyvan Shirazi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1558367649
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSHIRAZ MEDICAL GROUP, INC
Location Address16952 VENTURA BLVD, STE 100Encino, CA 91316-4124
Mailing Address16952 Ventura Blvd, Ste 100Encino, CA 91316-4124 · (818) 789-3964 · Fax (818) 789-3967
Fax(818) 789-3967
Organization SubpartNo
Authorized OfficialKeyvan ShiraziCeo · (818) 789-3964
Enumeration DateJune 22, 2005
Last NPPES UpdateSeptember 11, 2014
✔ NPI 1558367649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A78184
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
16952 VENTURA BLVD, Encino, CA 91316

Other Identifiers 3

Medicare UPINH69565CA
Medicare ID-Type UnspecifiedW16548
Medicaid00A781840CA

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shiraz Medical Group, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Shiraz Medical Group, 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)

Internal Medicine
NPI 1023033107
16952 VENTURA BLVD
Encino, CA 91316
(818) 789-3964
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1437755667
20600 VENTURA BLVD UNIT 2119
Woodland Hills, CA 91364
(310) 890-8749
✔ PECOS✔ Accepts Medicare4.6 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 Shiraz Medical Group, Inc's NPI number?

The NPI number for Shiraz Medical Group, Inc is 1558367649. It was assigned to this organization in the NPPES registry on June 22, 2005.

Where is Shiraz Medical Group, Inc located?

Shiraz Medical Group, Inc is located at 16952 Ventura Blvd Ste 100, Encino, CA 91316. The listed phone number is (818) 789-3964.

What is Shiraz Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Shiraz Medical Group, Inc enrolled in Medicare?

Yes. Shiraz Medical Group, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shiraz Medical Group, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Shiraz Medical Group, Inc, in Internal Medicine and Nurse Practitioner. 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 Shiraz Medical Group, Inc was last updated on September 11, 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.