Shahid Syed, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

A150697 Issued in CA

Practice address

1335 Cypress St Ste 205
San Dimas, CA 91773-3538

Phone

(909) 402-2777

NPI assigned

Apr 21, 2015

Last updated

May 8, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

NephrologyAlso: Internal Medicine

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

California Kidney SpecialistsGroup PAC ID 0345232096, 16 clinicians

Southern California Hospitalist Network Medical Group IncGroup PAC ID 8921990110, 76 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Emanate Health Inter-Community Hospital Hospital, Covina, CA, CCN 050382
• San Dimas Community Hospital Hospital, San Dimas, CA, CCN 050588
• Emanate Health Foothill Presbyterian Hospital Hospital, Glendora, CA, CCN 050597
• City of Hope Helford Clinical Research Hospital Hospital, Duarte, CA, CCN 050146
• Emanate Health Inter-Community Hospital- D/P SNF Nursing home, Covina, CA, CCN 555610

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: casacolina@direct.casacolina.org
• FHIR API: https://fhir-myrecord.cerner.com/r4/5192cc27-2764-47df-a8de-8ad1cf29ade6/
• Direct secure messaging: ssyed61058@cityofhope.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• California Kidney Specialists

  • Nephrology Physician
  • San Dimas, CA
  • NPI 1760497457
  Medicare reassignment Care Compare group NPD
• Southern California Hospitalist Network Medical Group Inc

  • Internal Medicine Physician
  • Orange, CA
  • NPI 1790880458
  Medicare reassignment Care Compare group NPD
• Casa Colina Hospital and Centers for Healthcare

  • General Acute Care Hospital
  • Pomona, CA
  • NPI 1952777245
  NPD
• Physicians of Southern California Inc

  • Multi-Specialty Clinic/Center
  • Ontario, CA
  • NPI 1710587670
  NPD (past)
• San Antonio Regional Hospital

  • General Acute Care Hospital
  • Upland, CA
  • NPI 1780681189
  NPD (past)
• San Dimas Community Hospital, Inc.

  dba San Dimas Community Hospital

  • Skilled Nursing Facility
  • San Dimas, CA
  • NPI 1568487619
  NPD (past)
• Yong Luke Lee Medical Corporation

  • Rehabilitation Hospital
  • Pomona, CA
  • NPI 1114245883
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• City of Hope National Medical Center

  • General Acute Care Hospital
  • Duarte, CA
  • NPI 1750358297
  Care Compare affiliation
• Emanate Health Foothill Presbyterian Hospital

  dba Foothill Presbyterian Hospital

  • General Acute Care Hospital
  • Glendora, CA
  • NPI 1992733513
  Care Compare affiliation
• Emanate Health Medical Center

  dba Citrus Valley Medical Center Queen Of the Valley Campus

  • General Acute Care Hospital
  • West Covina, CA
  • NPI 1063441293
  Care Compare affiliation
• Emanate Health Medical Center

  dba Emanate Health Inter-Community Hospital

  • Psychiatric Hospital Unit
  • Covina, CA
  • NPI 1215063151
  Care Compare affiliation
• Emanate Health Medical Center

  dba Citrus Valley Medical Center InterCommunity Skilled Nursing Facility

  • Skilled Nursing Facility
  • Covina, CA
  • NPI 1629009097

  Nursing home

  Care Compare affiliation
• Emanate Health Medical Center

  dba Citrus Valley Medical Center Inter-Community Campus

  • General Acute Care Hospital
  • Covina, CA
  • NPI 1982629440
  Care Compare affiliation
• Prime Healthcare Services - San Dimas LLC

  dba San Dimas Community Hospital

  • General Acute Care Hospital
  • San Dimas, CA
  • NPI 1740447945
  Care Compare affiliation

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651968000000",
    "number": "1174910848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 CYPRESS ST STE 205",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733538",
            "telephone_number": "909-542-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 CYPRESS ST STE 205",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733538",
            "telephone_number": "909-402-2777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 N State St",
            "address_2": "CTA7D",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900331029",
            "country_code": "US",
            "telephone_number": "323-226-7556",
            "fax_number": "323-226-2657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SYED",
        "first_name": "SHAHID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-21",
        "last_updated": "2022-05-08",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A150697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SS3232267556",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gerardo Cuitlahuac Suarez
• Clifford L. Sussman, M.D.
• Suzan Burmayan, O.D., a Professional Corporation
• David Ashley Swearingen, OD
• Ida Sweetwater
• Syngo LLC (Assured Homes)
• William H Tabb, DPM
• Erika Tablac
• Azadeh Taefi, M.S., PPS, CWA
• Kemerick Takang

• Nephrology Physician in San Dimas, CA
• Providers in San Dimas, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2022; 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.

Verify at the official NPI Registry.