Organization Active NPI

Fatema a Shamim MD Inc

  • Pediatrics Physician
  • Inglewood, CA
National Provider Identifier
1114352812
Registry record updated Sep 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A87291 Issued in CA
Legal business name
FATEMA A SHAMIM MD INC
Practice address
575 E Hardy St
Ste 221
Inglewood, CA 90301-4036
Phone
(310) 677-9131
Fax
(310) 677-0254
NPI assigned
Sep 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2013

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

Authorized official

Name
Dr. Fatema A Shamim, M.D.
Title
Owner
Phone
(818) 409-9190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X A87291 CA Primary

Addresses

Primary practice location

575 E Hardy St
Ste 221
Inglewood, CA 90301-4036

Mailing address

575 E Hardy St
Ste 221
Inglewood, CA 90301-4036
Phone (310) 677-9131

National Provider Directory

National Provider Directory

Locations

575 E Hardy St
Ste 221
Inglewood, CA 90301
Phone (310) 677-9131

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378944000000",
    "number": "1114352812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 E HARDY ST",
            "address_2": "STE 221",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014036",
            "telephone_number": "310-677-9131",
            "fax_number": "310-677-0254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 E HARDY ST",
            "address_2": "STE 221",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014036",
            "telephone_number": "310-677-9131",
            "fax_number": "310-677-0254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FATEMA A SHAMIM MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-12",
        "last_updated": "2013-09-12",
        "status": "A",
        "authorized_official_last_name": "SHAMIM",
        "authorized_official_first_name": "FATEMA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-409-9190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A87291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.