Shahrad Radi Shamsi, M.D. Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A68990 Issued in CA

Legal business name

SHAHRAD RADI SHAMSI, M.D. INC.

Practice address

2001 Santa Monica Blvd
Suite 775W
Santa Monica, CA 90404-2102

Phone

(310) 453-0504

Fax

(310) 453-0520

NPI assigned

Oct 10, 2007

Last updated

Mar 20, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shahrad Radi Shamsi, M.D.NPI 1700944378

Title

President

Phone

(310) 453-0504

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shahrad Radi Shamsi, M.D.

  • Specialist
  • Santa Monica, CA
  • NPI 1700944378
  Medicare reassignment NPD Authorized official
• Jin Guo, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Loma Linda, CA
  • NPI 1538375217
  Medicare reassignment NPD

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363737600000",
    "number": "1275721656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD",
            "address_2": "SUITE 775W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042102",
            "telephone_number": "310-453-0504",
            "fax_number": "310-453-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD",
            "address_2": "SUITE 775W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042102",
            "telephone_number": "310-453-0504",
            "fax_number": "310-453-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAHRAD RADI SHAMSI, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2013-03-20",
        "status": "A",
        "authorized_official_last_name": "SHAMSI",
        "authorized_official_first_name": "SHAHRAD",
        "authorized_official_middle_name": "RADI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-453-0504",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A68990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simran Shah, MD
• Vivek Dilipkumar Shah
• Sneha Sanjeev Shaha
• Kamyar Shahedi, M.D.
• Gholamreza Shahhosseini, DC
• Minoo Shahriary, BS
• Seyed H Shahrokni, M.D.
• Robert Andries Shain, MD
• Shalabh Puri DDS Inc.
• Cristina Shallenberger, N.P.

• Specialist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.