Organization Active NPI

Shiva Mohtashami MD PC

  • Family Medicine Physician
  • Morgan Hill, CA
National Provider Identifier
1326855776
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SHIVA MOHTASHAMI MD PC
Practice address
18511 Mission View Dr Ste 100
Morgan Hill, CA 95037-2975
Phone
(408) 659-7300
Fax
(408) 228-3995
NPI assigned
Dec 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Authorized official

Name
Shiva Mohtashami, MDNPI 1043566623
Title
Owner
Phone
(408) 659-7300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

18511 Mission View Dr Ste 100
Morgan Hill, CA 95037-2975

Mailing address

18511 Mission View Dr Ste 100
Morgan Hill, CA 95037-2975
Phone (408) 659-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250122003596 CA Part B Supplier - Clinic/Group Practice 9739618695 Receives reassigned benefits from 1 practitioner
Practice locations: Gilroy, CA; Morgan Hill, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2323007Shiva Mohtashami MD18511 Mission View Dr Suite 100, Morgan Hill, CA 95037Certificate of waiverApr 29, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1734480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1326855776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18511 MISSION VIEW DR STE 100",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950372975",
            "telephone_number": "408-659-7300",
            "fax_number": "408-228-3995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18511 MISSION VIEW DR STE 100",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950372975",
            "telephone_number": "408-659-7300",
            "fax_number": "408-228-3995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIVA MOHTASHAMI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-18",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "MOHTASHAMI",
        "authorized_official_first_name": "SHIVA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-659-7300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgan Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.