Individual provider Active NPI

Aisha Waris Shaheen, MD, MHA

  • Surgery Physician
  • Bakersfield, CA
National Provider Identifier
1083856579
Registry record updated Dec 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A152266 Issued in CA
Practice address
1700 Mount Vernon Ave
Bakersfield, CA 93306-4018
Phone
(661) 326-2000
NPI assigned
Mar 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A152266 CA Primary

Addresses

Primary practice location

1700 Mount Vernon Ave
Bakersfield, CA 93306-4018

Mailing address

221S 12TH St N608
Philadelphia, PA 19107-5559
Phone (310) 308-9521

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171218002589 CA Practitioner - Internal MedicinePractitioner - General SurgeryPractitioner - Other (Physician) 8527377175 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: General Surgery
Education
Temple University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Torrance Intensivist Group IncGroup PAC ID 1355756735, 2 clinicians

Practice addresses (Care Compare)

12566 Valley View St
Garden Grove, CA 92845-2006
Phone (917) 375-9244

3330 Lomita Blvd
Torrance, CA 90505-5002
Phone (310) 379-2134

Hospital & facility affiliations

  • Torrance Memorial Medical Center Hospital, Torrance, CA, CCN 050351
  • Hazel Hawkins Memorial Hospital Hospital, Hollister, CA, CCN 051337

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A152266CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Willow Brook Critical Care Medical Group, Inc CurrentSince May 1, 2020 Accepting new patients
Kern County Hospital Authority CurrentSince Oct 21, 2017 Accepting new patients
Kern County Hospital Authority CurrentSince Oct 21, 2017 Accepting new patients
Torrance Intensivist Group Inc. CurrentSince Jul 1, 2022 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Nov 30, 2024 Accepting new patients
Arcadia Intensivist Group, Inc. CurrentSince Feb 1, 2022 Accepting new patients
Bel Air Critical Care Medical Group, Inc. CurrentSince Jun 1, 2021 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Nov 30, 2024 Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

300 W Huntington Dr
Arcadia, CA 91007
Phone (626) 445-4441

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864

2910 Jefferson St
Ste 100
Carlsbad, CA 92008
Phone (760) 729-8600

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

1420 S Central Ave
Glendale, CA 91204
Phone (818) 502-1900

1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555

50 Bellefontaine St
Ste 305
Pasadena, CA 91105
Phone (626) 795-0415

1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611

3330 Lomita Blvd
Torrance, CA 90505
Phone (310) 517-4675

4201 Torrance Blvd
Ste 350
Torrance, CA 90503
Phone (310) 540-5494

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512950400000",
    "number": "1083856579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221S 12TH ST N608",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075559",
            "telephone_number": "310-308-9521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MOUNT VERNON AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933064018",
            "telephone_number": "661-326-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHEEN",
        "first_name": "AISHA",
        "middle_name": "WARIS",
        "credential": "MD, MHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-30",
        "last_updated": "2017-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A152266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.