Active NPI
Shaheen Iqbal MD Inc
- Specialist
- Montebello, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A38557
- Legal business name
- SHAHEEN IQBAL MD INC
- Practice address
- 609 W Beverly Blvd
Montebello, CA 90640-3623 - Phone
- (323) 728-6445
- NPI assigned
- Mar 27, 2012
- Last updated
- Mar 27, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shaheen Iqbal, MD
- Title
- President
- Phone
- (323) 728-6445
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | A38557 | CA | Primary |
Addresses
Primary practice location
609 W Beverly Blvd
Montebello, CA 90640-3623
Mailing address
609 W Beverly Blvd
Montebello, CA 90640-3623
Phone (323) 728-6445
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A38557 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0552217 | Shaheen Iqbal MD | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
609 W Beverly Blvd
Montebello, CA 90640
Phone (323) 726-1038
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1332806400000",
"number": "1023384864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 W BEVERLY BLVD",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "906403623",
"telephone_number": "323-728-6445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 W BEVERLY BLVD",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "906403623",
"telephone_number": "323-728-6445"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHAHEEN IQBAL MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-27",
"last_updated": "2012-03-27",
"status": "A",
"authorized_official_last_name": "IQBAL",
"authorized_official_first_name": "SHAHEEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "323-728-6445",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "A38557",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "A38557",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montebello, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.