SHAHRAM JACOBS M.D., INC
NPI 1952592958
Internal Medicine in Encino, CA

Active since August 05, 2007CLIA 05D2016711 · Waiver
16133 VENTURA BLVD, #340 / 370, ENCINO, CA 91436(818) 981-1555(818) 981-1510 Get Directions Write a Review

NPPES record last updated: November 5, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shahram Jacobs M.d., Inc NPPES

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

SHAHRAM JACOBS M.D., INC (NPI 1952592958), doing business as Shahram Pourrabbani M.d., Inc, is a healthcare organization registered as an internal medicine in Encino, California and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through December 18, 2027 and lists Shahram Jacobs, President/ Secretary/ Treasurer, as its authorized official.

NPPES Registry Identity

NPI1952592958
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSHAHRAM JACOBS M.D., INC
Location Address16133 VENTURA BLVD, #340 / 370Encino, CA 91436-2403
Mailing Address16133 Ventura Blvd, #340 / 370Encino, CA 91436-2403 · (818) 981-1555 · Fax (818) 981-1510
Fax(818) 981-1510
Organization SubpartNo
Authorized OfficialShahram JacobsPresident/ Secretary/ Treasurer · (818) 981-1555
Enumeration DateAugust 5, 2007
Last NPPES UpdateNovember 5, 2008
✔ NPI 1952592958 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 · A89999
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.
16133 VENTURA BLVD, Encino, CA 91436

Other Names 1

Former Legal Business NameShahram Pourrabbani M.d., Inc

Other Identifiers 1

Medicare PINW22631CA

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)

Shahram Jacobs M.d., 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 Shahram Jacobs M.D., Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1659439040
16133 VENTURA BLVD SUITE 340
Encino, CA 91436
(310) 500-8688
✔ 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.

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 05D2016711

Shah Jacobs, MD Inc · Sherman Oaks, CA
Active · expires Dec 18, 2027
CLIA Number05D2016711
Laboratory TypePhysician Office
Certificate Effective DateDecember 19, 2025
Certificate Expiration DateDecember 18, 2027
Laboratory DirectorShahram Jacobs
Laboratory Phone(818) 981-1555
Laboratory LocationShah Jacobs, MD Inc4955 Van Nuys Blvd Ste 200, Sherman Oaks, CA 91403
CLIA data matches this NPI record on: 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 Shahram Jacobs M.D., Inc's NPI number?

The NPI number for Shahram Jacobs M.D., Inc is 1952592958. It was assigned to this organization in the NPPES registry on August 5, 2007. The provider was formerly known as Shahram Pourrabbani M.D., Inc.

Where is Shahram Jacobs M.D., Inc located?

Shahram Jacobs M.D., Inc is located at 16133 Ventura Blvd #340 / 370, Encino, CA 91436. The listed phone number is (818) 981-1555.

What is Shahram Jacobs M.D., Inc's specialty?

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

Is Shahram Jacobs M.D., Inc enrolled in Medicare?

Yes. Shahram Jacobs M.D., Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shahram Jacobs M.D., Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Shahram Jacobs M.D., 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.

Does Shahram Jacobs M.D., Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2016711) is associated with this NPI, valid through December 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Shahram Jacobs M.D., Inc was last updated on November 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.