Active NPI
Warda Saarah Shamshad
- Foot & Ankle Surgery Podiatrist
- Loma Linda, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- EL6831
- Practice address
- 11201 Benton St
Loma Linda, CA 92357-1000 - Phone
- (909) 825-7084
- NPI assigned
- Jul 5, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | EL6831 | CA | Primary |
Addresses
Primary practice location
11201 Benton St
Loma Linda, CA 92357-1000
Mailing address
25590 Prospect Avenue 39H
Loma Linda, CA 92354
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- R Franklin University of Med & Sci/Chicago Medical School, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16465 Sierra Lakes Pkwy
Fontana, CA 92336-1242
Phone (909) 427-9522
3600 Central Ave
Suite 4
Riverside, CA 92506-5912
Phone (951) 417-4554
Hospital & facility affiliations
- Pomona Valley Hospital Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 16 |
| Removal of nail tissue | 192 |
| Removal or shaving of skin growth | 46 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| EL6831 | CA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upperline Healthcare California PC | Foot & Ankle Surgery | Current | Accepting new patients |
| Jeffrey Demian Inc | Foot & Ankle Surgery | Current | Accepting new patients |
| Burbank Podiatry Asscociates Group a Professional Corporation | Foot & Ankle Surgery | Current | Accepting new patients |
| Upperline Healthcare California, PC | Orthopaedic Surgery | Current | Accepting new patients |
| Glendale Adventist Medical Center | Past | Accepting new patients | |
| San Antonio Regional Hospital | Past | Accepting new patients |
Locations
241 W Olive Ave
Burbank, CA 91502
Phone (818) 848-5561
17215 Studebaker Rd
Ste 108
Cerritos, CA 90703
Phone (310) 750-4511
15315 Fairfield Ranch Rd
Ste 220
Chino Hills, CA 91709
Phone (909) 789-1130
308 W 6th St
Ste 205
Corona, CA 92882
Phone (951) 417-4556
16465 Sierra Lakes Pkwy
Ste 240
Fontana, CA 92336
Phone (909) 355-3100
728 N Euclid Ave
Ontario, CA 91762
Phone (909) 984-4759
1038 E Chapman Ave
Orange, CA 92866
Phone (714) 771-4191
3600 Central Ave
Ste 4
Riverside, CA 92506
Phone (951) 355-2956
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- warda.shamshad.1@4399.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Foot & Ankle Surgery Podiatrist
- Burbank, CA
- NPI 1659470367
-
- Podiatric Clinic/Center
- Orange, CA
- NPI 1225663826
Foot & Ankle Surgery
-
- Foot & Ankle Surgery Podiatrist
- Torrance, CA
- NPI 1306339759
-
- Foot & Ankle Surgery Podiatrist
- La Mesa, CA
- NPI 1093399412
Orthopaedic Surgery
-
- Skilled Nursing Facility
- Glendale, CA
- NPI 1114916293
-
- General Acute Care Hospital
- Upland, CA
- NPI 1780681189
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pomona, CA
- NPI 1407813660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499212800000",
"number": "1154842755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25590 PROSPECT AVENUE 39H",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "92354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11201 BENTON ST",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923571000",
"telephone_number": "909-825-7084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAMSHAD",
"first_name": "WARDA",
"middle_name": "SAARAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-05",
"last_updated": "2017-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "EL6831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loma Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.