Shahriar Shahrestani, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A74440 Issued in CA

Practice address

6850 Brockton Ave
Ste. 102
Riverside, CA 92506-3808

Phone

(951) 680-0117

Fax

(951) 680-9263

NPI assigned

Nov 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Sharp Rees-Stealy Medical Group, Inc

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1285616177

  Pediatrics

  Medicare reassignment NPD
• Sharp Rees-Stealy Medical Group, Inc

  • Optometrist
  • San Diego, CA
  • NPI 1063172351
  NPD

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338854400000",
    "number": "1063584068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6850 BROCKTON AVE",
            "address_2": "STE. 102",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063808",
            "telephone_number": "951-680-0117",
            "fax_number": "951-680-9263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 BROCKTON AVE",
            "address_2": "STE. 102",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063808",
            "telephone_number": "951-680-0117",
            "fax_number": "951-680-9263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHRESTANI",
        "first_name": "SHAHRIAR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2012-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A74440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Maria Shaheen, LMFT
• Sereena Shahid
• Kareem Shahin, DO
• Omar Khaled Shahin
• Faramarz Shahinpouri, LCSW
• Shahin Shahrokni, MD
• Anmol Shahzadi, PHARMACY STUDENT
• Mohammed Shaikh, DDS
• Nat R Shain, D.D.S.
• Mangala C Shaker, M.D.

• Pediatrics Physician in Riverside, CA
• Providers in Riverside, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.