Individual provider Active NPI

Shahla Hashemi, PAC

  • Physician Assistant
  • Paramount, CA
National Provider Identifier
1003963612
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA15168 Issued in CA
Practice address
15955 Paramount Blvd
Paramount, CA 90723-5113
Phone
(562) 531-2231
Fax
(562) 531-8845
NPI assigned
Jan 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA15168 CA Primary

Addresses

Primary practice location

15955 Paramount Blvd
Paramount, CA 90723-5113

Mailing address

PO Box 47
Paramount, CA 90723-0047
Phone (562) 531-2231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140517000026 CA Practitioner - Physician Assistant 8224251319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Proyecto del Barrio IncGroup PAC ID 3476546227, 27 clinicians

Practice addresses (Care Compare)

150 N Azusa Ave
Azusa, CA 91702-3521
Phone (626) 969-7885

8902 Woodman Ave
Arleta, CA 91331-6401
Phone (818) 830-7080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
15168CAMDPediatric Occupational Therapist
PA15168CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
El Proyecto del Barrio, Inc. CurrentSince Apr 30, 2017 Accepting new patients
Para Latino Medical Center Inc Past Accepting new patients

Locations

8902 Woodman Ave
Arleta, CA 91331
Phone (818) 830-7033

150 N Azusa Ave
Azusa, CA 91702
Phone (626) 969-7885

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JIEBDA/Endpoint/JIEBDA
  • Direct secure messaging: shahla.hashemi.p1@direct.caremorewest.nextgenshare.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003963612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907230047",
            "telephone_number": "562-531-2231",
            "fax_number": "562-531-8845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15955 PARAMOUNT BLVD",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907235113",
            "telephone_number": "562-531-2231",
            "fax_number": "562-531-8845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASHEMI",
        "first_name": "SHAHLA",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA15168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramount, CA

Sources for this page

Verify at the official NPI Registry.