Individual provider Active NPI

Hamed Shalikar, M.D.

  • Family Medicine Physician
  • Chino, CA
National Provider Identifier
1174988935
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
139691 Issued in CA
Practice address
5450 Jefferson Ave
Chino, CA 91710-3522
Phone
(909) 464-8722
NPI assigned
Dec 22, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 139691 CA Primary

Addresses

Primary practice location

5450 Jefferson Ave
Chino, CA 91710-3522

Mailing address

1720 Cesar Chavez Ave
Los Angeles, CA 90033
Phone (323) 268-5000

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171229001028 CA Practitioner - General PracticePractitioner - Family PracticePractitioner - Sports Medicine 4688932320 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
University of California, Geffen School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advocate Family Medicine ClinicGroup PAC ID 7719330539, 3 clinicians
East Valley Community Health Center, Inc.Group PAC ID 9234041765, shared by 4 NPIs, 50 clinicians
Desert Valley Medical Group IncGroup PAC ID 4880595875, 78 clinicians

Practice addresses (Care Compare)

1330 W Covina Blvd
Suite 201
San Dimas, CA 91773-3200
Phone (626) 999-9118

1555 S Garey Ave
Pomona, CA 91766-5222
Phone (626) 919-4333

16850 Bear Valley Rd
Victorville, CA 92395-5794
Phone (760) 241-8000

Hospital & facility affiliations

  • Chino Valley Medical Center Hospital, Chino, CA, CCN 050586

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
139691CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Medical Clinic, Inc Family Medicine CurrentSince Jan 15, 2018 Accepting new patients
Southern California Hospitalist Network Medical Group Inc CurrentSince Sep 1, 2018 Accepting new patients
Desert Valley Medical Group, Inc CurrentSince Jun 1, 2021 Accepting new patients
Desert Valley Medical Group, Inc. Family Medicine CurrentSince Jun 1, 2021 Accepting new patients
Riverside Medical Clinic, Inc Current Accepting new patients
Desert Valley Medical Group, Inc. Current Accepting new patients
Advocate Family Medicine Clinic Family Medicine CurrentSince Jan 1, 2024 Accepting new patients
Prime Healthcare Services - Montclair, LLC Past Accepting new patients
Desert Valley Hospital, LLC Past Accepting new patients

Locations

5450 Jefferson Ave
Ste 3
Chino, CA 91710
Phone (909) 464-8600

210 W San Bernardino Rd
Covina, CA 91723
Phone (626) 858-8580

625 The City Dr S
Ste 320
Orange, CA 92868
Phone (714) 202-2330

3660 Arlington Ave
Riverside, CA 92506
Phone (951) 782-3789

6405 Day St
Riverside, CA 92507
Phone (909) 683-6370

1330 W Covina Blvd
Ste 201
San Dimas, CA 91773
Phone (626) 999-9118

16850 Bear Valley Rd
Victorville, CA 92395
Phone (760) 241-8222

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: hamed.shalikar.p1@direct.dvmg.nextgenshare.com

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1450742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1174988935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 CESAR CHAVEZ AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90033",
            "telephone_number": "323-268-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5450 JEFFERSON AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917103522",
            "telephone_number": "909-464-8722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHALIKAR",
        "first_name": "HAMED",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-22",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "139691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

Verify at the official NPI Registry.