Individual provider Active NPI

Afshin Shawn Adhami, MD

  • Internal Medicine Physician
  • El Monte, CA
National Provider Identifier
1104991686
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G81919 Issued in CA
Practice address
3030 Tyler Ave
El Monte, CA 91731-3352
Phone
(626) 350-9540
Fax
(626) 350-9580
NPI assigned
Nov 21, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G81919 CA Primary

Addresses

Primary practice location

3030 Tyler Ave
El Monte, CA 91731-3352

Mailing address

10400 La Grange Ave Apt 101
Los Angeles, CA 90025-5168
Phone (818) 329-1777

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
I20041202000663 CA Practitioner - Internal Medicine 1254396294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wayne State University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1000 W Whittier Blvd
Montebello, CA 90640-4639
Phone (323) 346-0555

3030 Tyler Ave
El Monte, CA 91731-3352

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
A Shawn Adhami M D a Professional Corporation CurrentSince Oct 18, 2004 Accepting new patients
Northeast Hospital Corporation Past Accepting new patients
Ahmc Garfield Medical Center LP Past Accepting new patients
Ahmc Monterey Park Hospital LP Past Accepting new patients

Locations

3030 Tyler Ave
El Monte, CA 91731
Phone (626) 350-9540

1000 W Whittier Blvd
Montebello, CA 90640
Phone (323) 346-0555

850 S Atlantic Blvd
Ste 102
Monterey Park, CA 91754
Phone (213) 376-3762

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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

Hospital & facility affiliations 3

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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1104991686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10400 LA GRANGE AVE APT 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255168",
            "telephone_number": "818-329-1777",
            "fax_number": "626-350-9580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 TYLER AVE",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917313352",
            "telephone_number": "626-350-9540",
            "fax_number": "626-350-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADHAMI",
        "first_name": "AFSHIN",
        "middle_name": "SHAWN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G81919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Monte, CA

Sources for this page

Verify at the official NPI Registry.