Shams a. Mousavilar,MD,Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

SHAMS A. MOUSAVILAR,MD,INC.

Practice address

1840 N Hacienda Blvd Ste 4
La Puente, CA 91744-1143

Phone

(626) 727-2150

NPI assigned

Jun 27, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Shams MousavilarNPI 1568400505

Title

Pediatrician

Phone

(626) 727-2150

Specialties & licenses 1

Addresses

Other names 1

• New Valley Pediatric Clinic Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shams Al-Sadat Mousavilar, M.D

  • Pediatrics Physician
  • La Puente, CA
  • NPI 1568400505
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530057600000",
    "number": "1003301573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 N HACIENDA BLVD STE 4",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917441143",
            "telephone_number": "626-727-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 N HACIENDA BLVD STE 4",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917441143",
            "telephone_number": "626-727-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAMS A. MOUSAVILAR,MD,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-06-27",
        "status": "A",
        "authorized_official_last_name": "MOUSAVILAR",
        "authorized_official_first_name": "SHAMS",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "626-727-2150",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Valley Pediatric Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bessie Christine Schwartz
• Rose Amachiztli Scobie
• John Sedgh, M.D.
• Seran NG DMD Inc
• Shah & Khedia Medical Doctors Inc
• Eugenia Sharon, NP
• Joanne Hyo-Jung Shim
• Maria Kristina Sia, NP, RN
• Matthew Agustin Aquino Sia
• Raquel Marie Sierra

• Primary Care Clinic/Center in La Puente, CA
• Providers in La Puente, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.