Active NPI
Shahriar Mokrian, M.D.
- Neonatal-Perinatal Medicine Physician
- Lancaster, CA
National Provider Identifier
1285952952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- A117369
- Practice address
- 1600 W Avenue J
Lancaster, CA 93534-2814 - Phone
- (661) 949-5366
- Fax
- (661) 726-6251
- NPI assigned
- May 5, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | ME116955 | FL | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | A117369 | CA | Primary |
Addresses
Primary practice location
1600 W Avenue J
Lancaster, CA 93534-2814
Mailing address
1600 W Avenue J
Lancaster, CA 93534-2814
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A117369 | CA | MD | Neonatal-Perinatal Medicine Physician |
| ME116955 | FL | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Antelope Valley Neonatology Group | Neonatal-Perinatal Medicine | Past | Accepting new patients |
| Antelope Valley Health Care District | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Lancaster, CA
- NPI 1366419517
-
- Neonatal-Perinatal Medicine Physician
- Lancaster, CA
- NPI 1629691209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614470400000",
"number": "1285952952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 W AVENUE J",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935342814",
"fax_number": "631-444-6031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 W AVENUE J",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935342814",
"telephone_number": "661-949-5366",
"fax_number": "661-726-6251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOKRIAN",
"first_name": "SHAHRIAR",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-05",
"last_updated": "2021-02-28",
"certification_date": "2021-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "FL",
"license": "ME116955",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "CA",
"license": "A117369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.