Comprehensive Hospitalist & Ambulatory Physicians-Hospitalists
NPI 1639664030ActiveOrganization· Hospitalist· Sherman Oaks, CA
Hospitalist in Sherman Oaks, California, registered in NPPES in June 2018. The authorized official on file is Behzad Soufersadeh, D.O., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1639664030 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 27, 2018 |
| Last updated in NPPES | Mar 12, 2025 |
| Certified by provider | Mar 12, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Hospitalist Primary | 208M00000X | 20A12379 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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