Shams Yoonessi, M.D, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

C50483 Issued in CA

Practice address

731 S Beacon St
San Pedro, CA 90731-3738

Phone

(310) 732-5889

Fax

(310) 732-5890

NPI assigned

Jan 11, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Shams Alemozaffar Former name

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

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.

• Harbor Community Clinic Inc

  • Pediatrics Physician
  • San Pedro, CA
  • NPI 1831739614
  NPD (past)

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144370354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6790 CREST RD",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "907315495",
            "telephone_number": "310-541-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 S BEACON ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907313738",
            "telephone_number": "310-732-5889",
            "fax_number": "310-732-5890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOONESSI, M.D",
        "first_name": "SHAMS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "C50483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAMS",
            "last_name": "ALEMOZAFFAR",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kikuyo Yasumaru
• Esther Myrna Jean Yelton
• Jacques Rong Sen Yeoh
• Jeanne Sylvie Ngono S.Ngono Yomo
• Michael Yonamine
• Dahlia Yoskowitz
• Young Kim D.D.S. Inc.
• Jeffery Youngblood
• Mario A Zabatta, DC
• Janai Zamora Fukutake

• Pediatrics Physician in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.