SHOHAM MEDICAL GROUP
NPI 1710164967
Pediatrics in Granada Hills, CA

Active since January 29, 2008CLIA 05D0558708 · Waiver
10515 BALBOA BLVD STE 360, GRANADA HILLS, CA 91344(818) 832-3322(818) 360-9171 Get Directions Write a Review

NPPES record last updated: June 19, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shoham Medical Group NPPES

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

SHOHAM MEDICAL GROUP (NPI 1710164967) is a healthcare organization registered as a pediatrics in Granada Hills, California and active in the NPI registry since January 2008. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Steven Charles Shoham, Physician Owner, as its authorized official.

NPPES Registry Identity

NPI1710164967
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSTEVEN C SHOHAM MD
Location Address10515 BALBOA BLVD STE 360Granada Hills, CA 91344
Mailing Address10515 Balboa Blvd Ste 360Granada Hills, CA 91344-6346 · (818) 832-3322 · Fax (818) 360-9171
Fax(818) 360-9171
Organization SubpartNo
Authorized OfficialSteven Charles ShohamPhysician Owner · (818) 832-3322
Enumeration DateJanuary 29, 2008
Last NPPES UpdateJune 19, 2018
NPI 1710164967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

10515 BALBOA BLVD STE 360, Granada Hills, CA 91344

Other Names 1

Other NameShoham Medical Group

Other Identifiers 1

Medicaid00G508260CA

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0558708

Steven C Shoham MD · Granada Hills, CA
Active · expires Aug 31, 2026
CLIA Number05D0558708
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Steven C. Shoham
Laboratory Phone(818) 832-3322
Laboratory LocationSteven C Shoham MD10605 Balboa Blvd Suite 307, Granada Hills, CA 91344
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Steven C Shoham MD's NPI number?

The NPI number for Steven C Shoham MD is 1710164967. It was assigned to this organization in the NPPES registry on January 29, 2008. The provider is also known as Shoham Medical Group.

Where is Steven C Shoham MD located?

Steven C Shoham MD is located at 10515 Balboa Blvd Ste 360, Granada Hills, CA 91344. The listed phone number is (818) 832-3322.

What is Steven C Shoham MD's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Steven C Shoham MD hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0558708) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Steven C Shoham MD was last updated on June 19, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.