Mohammad Ali Shadian Haghighi, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PAC 21139 Issued in CA

Practice address

7565 N Cedar Ave Ste 101
Fresno, CA 93720-2687

Phone

(559) 438-8888

Fax

(559) 438-8887

NPI assigned

Oct 21, 2010

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Community Oncology Associates Medical Group, Inc.

  • Specialist
  • Fresno, CA
  • NPI 1033287818
  NPD (past)

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

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1134439367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4823 N WINDWARD WAY",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936194671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7565 N CEDAR AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202687",
            "telephone_number": "559-438-8888",
            "fax_number": "559-438-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHADIAN HAGHIGHI",
        "first_name": "MOHAMMAD ALI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-21",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PAC 21139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SGS Homes Inc
• SH Medical Supply LLC
• SH Truckline Inc
• Aroma Shabbir, MBBS
• Shahid Shabbir, MD
• Ruth Shaeffer, LMFT
• Jennifer Rose Shafer
• Thomas W Shaffer, PHD
• Maulik Shah, MD
• MD Shahin Shah, DDS

• Medical Physician Assistant in Fresno, CA
• Providers in Fresno, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; 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.