Shahla Aldavoodi, in Northridge, CA - Medicare Nurse Practitioner

Shahla Aldavoodi, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Northridge, California. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southern California Permanente Medical Group and her current practice location is 18300 Roscoe Blvd, Northridge, California. You can reach out to her office (for appointments etc.) via phone at (818) 885-8500.

Shahla Aldavoodi is licensed to practice in California (license number 95015696) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1104328384.

Contact Information

	Shahla Aldavoodi,
	18300 Roscoe Blvd, Northridge, CA 91325-4105
	(818) 885-8500
	Not Available

Map and Direction

Provider's Profile

Full Name	Shahla Aldavoodi
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	18300 Roscoe Blvd, Northridge, California
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Shahla Aldavoodi graduated from nursing school in 2020

NPI Data:

NPI Number: 1104328384
Provider Enumeration Date: 03/05/2018
Last Update Date: 06/29/2022

Medicare PECOS Information:

PECOS PAC ID: 1052726007
Enrollment ID: I20210224002946

Medical Identifiers

Medical identifiers for Shahla Aldavoodi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104328384	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95015696 (California)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95015696 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern California Permanente Medical Group	6002729175	7951

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shahla Aldavoodi allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shahla Aldavoodi is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Shahla Aldavoodi, 19412 Cantara St, Reseda, CA 91335-1007 Ph: (818) 749-9087	Shahla Aldavoodi, 18300 Roscoe Blvd, Northridge, CA 91325-4105 Ph: (818) 885-8500

Reviews and Comments

Nurse Practitioner Nurses in Northridge, CA

Mrs. Alicia E Lane, FNP-BC, BSN, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19346 Nordhoff St, Northridge, CA 91324 Phone: 818-727-2040
Mrs. Michelle Paige Birdsall, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18300 Roscoe Blvd, Northridge, CA 91325 Phone: 818-885-8500
Louise Anne Villanueva, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8628 Reseda Blvd, Northridge, CA 91324 Phone: 818-361-5437
Riffat Khan, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18300 Roscoe Blvd, Northridge, CA 91325 Phone: 818-885-3577
Angelo Soriano, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18300 Roscoe Blvd, Northridge, CA 91325 Phone: 818-885-8500
Jennifer Michelle Melman, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18433 Roscoe Blvd, Suite 240, Northridge, CA 91325 Phone: 818-349-1262
Shadi Tamaddon, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8510 Balboa Blvd, Ste 150, Northridge, CA 91325 Phone: 818-637-2000 Fax: 818-654-3417

Shahla Aldavoodi, - Medicare Nurse Practitioner in Northridge, CA