Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Shahram Shawn Farahvash, MD

Individual provider Anesthesiology Physician · NPI 1003076621

Dr. Shahram Shawn Farahvash, MD is an Anesthesiology in Van Nuys, California. Qualified in 2004, 22 years ago. Practices with Pacific Valley Medical Group, a 104-clinician group and accepts Medicare assignment. Licensed in California and Wisconsin.

Years since qualifying
22
Licensed in
CA, WI
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

15107 Vanowen St
Van Nuys, CA 91405-4542
Phone: (818) 782-6600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 56705 (WI)
Pediatric Anesthesiology Physician Taxonomy 207LP3000X · Licence A115190 (CA)

Record details

NPI number1003076621
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 17, 2008
Last updated in NPPESDecember 1, 2021
Certification dateDecember 1, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Pacific Valley Medical Group — 104 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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