Active NPI
Ameerah Ann-Shaban Shalikar, M.D.
- Family Medicine Physician
- Pomona, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A151302
- Practice address
- 1770 N Orange Grove Ave
Suite 101
Pomona, CA 91767-3027 - Phone
- (909) 469-9494
- Fax
- (909) 620-7285
- NPI assigned
- May 8, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | A151302 | CA | Primary |
Addresses
Primary practice location
1770 N Orange Grove Ave
Suite 101
Pomona, CA 91767-3027
Mailing address
1770 N Orange Grove Ave
Suite 101
Pomona, CA 91767-3027
Phone (909) 469-9494
Other names 1
- Ameerah Shaban
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1330 W Covina Blvd
Suite 201
San Dimas, CA 91773-3200
Phone (626) 999-9118
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A151302 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desert Valley Medical Group, Inc. | Family Medicine | Current | Accepting new patients |
| Desert Valley Medical Group, Inc | Current | Accepting new patients | |
| Desert Valley Medical Group, Inc. | Current | Accepting new patients | |
| Advocate Family Medicine Clinic | Family Medicine | Current | Accepting new patients |
| Desert Valley Hospital, LLC | Past | Accepting new patients |
Locations
5450 Jefferson Ave
Ste 3
Chino, CA 91710
Phone (909) 464-8600
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
- ameerah.shalikar.p1@direct.dvmg.nextgenshare.com
Organizations & group practices 5
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.
-
- Family Medicine Physician
- San Dimas, CA
- NPI 1366215683
-
- Physical Therapist
- Victorville, CA
- NPI 1639117864
-
- Internal Medicine Physician
- Victorville, CA
- NPI 1952020315
-
- Internal Medicine Physician
- Victorville, CA
- NPI 1801848452
Family Medicine
-
- General Acute Care Hospital
- Victorville, CA
- NPI 1851396576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673913600000",
"number": "1275911315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1770 N ORANGE GROVE AVE",
"address_2": "SUITE 101",
"city": "POMONA",
"state": "CA",
"postal_code": "917673027",
"telephone_number": "909-469-9494",
"fax_number": "909-620-7285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1770 N ORANGE GROVE AVE",
"address_2": "SUITE 101",
"city": "POMONA",
"state": "CA",
"postal_code": "917673027",
"telephone_number": "909-469-9494",
"fax_number": "909-620-7285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHALIKAR",
"first_name": "AMEERAH",
"middle_name": "ANN-SHABAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-08",
"last_updated": "2023-01-17",
"certification_date": "2023-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A151302",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Southern California Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "9961 Sierra Ave",
"city": "Fontana",
"state": "CA",
"country_code": "US",
"postal_code": "923356720",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "AMEERAH",
"last_name": "SHABAN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.