Organization Active NPI

Jamsheed James Shamloo MD Inc

  • General Practice Physician
  • Colton, CA
National Provider Identifier
1154645398
Registry record updated Jun 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A89604 Issued in CA
Legal business name
JAMSHEED JAMES SHAMLOO MD INC
Practice address
1023 S Mount Vernon Ave
Colton, CA 92324-4202
Phone
(909) 422-8015
Fax
(909) 422-0625
NPI assigned
Mar 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2010

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

Authorized official

Name
Dr. Jamsheed J Shamloo, M.D.
Title
Owner
Phone
(909) 422-8015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X A89604 CA Primary

Addresses

Primary practice location

1023 S Mount Vernon Ave
Colton, CA 92324-4202

Mailing address

1023 S Mount Vernon Ave
Colton, CA 92324-4202
Phone (909) 422-8015

Other identifiers 1

IdentifierTypeStateIssuer
8440339MedicaidCA

Other names 1

  • MT. VERNON MEDICAL CENTER Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275868800000",
    "number": "1154645398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 S MOUNT VERNON AVE",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923244202",
            "telephone_number": "909-422-8015",
            "fax_number": "909-422-0625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 S MOUNT VERNON AVE",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923244202",
            "telephone_number": "909-422-8015",
            "fax_number": "909-422-0625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMSHEED JAMES SHAMLOO MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-17",
        "last_updated": "2010-06-07",
        "status": "A",
        "authorized_official_last_name": "SHAMLOO",
        "authorized_official_first_name": "JAMSHEED",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-422-8015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A89604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8440339",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MT. VERNON MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; 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.