SHERVIN SHAMTOUB D.P.M. INC
NPI 1700225315
Podiatrist - Foot & Ankle Surgery in Los Angeles, CA

Active since June 17, 2013
1401 S GRAND AVE, LOS ANGELES, CA 90015(818) 416-2919 Get Directions Write a Review

NPPES record last updated: May 21, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 21, 2020, Jul 17, 2018 (2 updates tracked since 2018).

About Shervin Shamtoub D.p.m. Inc NPPES

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

SHERVIN SHAMTOUB D.P.M. INC (NPI 1700225315) is a healthcare organization registered as a foot & ankle surgery in Los Angeles, California and active in the NPI registry since June 2013. The organization maintains a secondary practice location in Eagle Rock and lists Shervin Shamtoub, President, as its authorized official.

NPPES Registry Identity

NPI1700225315
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameSHERVIN SHAMTOUB D.P.M. INC
Location Address1401 S GRAND AVELos Angeles, CA 90015
Mailing Address5632 Van Nuys Blvd Unit 1527Sherman Oaks, CA 91401-4602 · (818) 416-2919
Organization SubpartNo
Authorized OfficialShervin ShamtoubPresident · (818) 416-2919
Enumeration DateJune 17, 2013
Last NPPES UpdateMay 21, 20202 updates tracked since enumeration
NPPES CertifiedMay 21, 2020
✔ NPI 1700225315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in CA · E4734
1401 S GRAND AVE, Los Angeles, CA 90015

Secondary Practice Location 1

Location 11400 Colorado BlvdEagle Rock, CA 90041-2321 · Phone (818) 416-2919

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)

Shervin Shamtoub D.p.m. 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 Shervin Shamtoub D.P.M. Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1194923326
1401 SOUTH GRAND AVENUE.
Los Angeles, CA 90015
(818) 416-2919
✔ PECOS✔ Accepts MedicareSame address

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 Shervin Shamtoub D.P.M. Inc's NPI number?

The NPI number for Shervin Shamtoub D.P.M. Inc is 1700225315. It was assigned to this organization in the NPPES registry on June 17, 2013.

Where is Shervin Shamtoub D.P.M. Inc located?

Shervin Shamtoub D.P.M. Inc is located at 1401 S Grand Ave, Los Angeles, CA 90015. The listed phone number is (818) 416-2919.

What is Shervin Shamtoub D.P.M. Inc's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Shervin Shamtoub D.P.M. Inc enrolled in Medicare?

Yes. Shervin Shamtoub D.P.M. Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shervin Shamtoub D.P.M. Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Shervin Shamtoub D.P.M. 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 Shervin Shamtoub D.P.M. Inc was last updated on May 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.