Good Shepherd MD Prof Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GOOD SHEPHERD MD PROF INC

Practice address

8283 Grove Ave Ste 102
Rancho Cucamonga, CA 91730-3138

Phone

(909) 480-4808

Fax

(909) 480-4843

NPI assigned

May 12, 2023

Last updated

May 26, 2023By 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

Amin Abdelmeseeh, MDNPI 1699823518

Title

President

Phone

(909) 480-4808

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 3

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.

• Amin S. Abdelmeseeh, MD

  • Family Medicine Physician
  • Highland, CA
  • NPI 1699823518
  Medicare reassignment NPD Authorized official
• Amgad Alfred, PA-C

  • Family Medicine Physician
  • Rancho Cucamonga, CA
  • NPI 1225504301
  NPD
• George Mousa, MD

  • Internal Medicine Physician
  • San Bernardino, CA
  • NPI 1144711821
  NPD

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

{
    "created_epoch": "1683849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685059200000",
    "number": "1336839273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8283 GROVE AVE STE 102",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303138",
            "telephone_number": "909-480-4808",
            "fax_number": "909-480-4843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8283 GROVE AVE STE 102",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303138",
            "telephone_number": "909-480-4808",
            "fax_number": "909-480-4843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD MD PROF INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-12",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A",
        "authorized_official_last_name": "ABDELMESEEH",
        "authorized_official_first_name": "AMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-480-4808",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Good Habits Children's Service Inc (Good Habits Behavioral Services)
• Good Habits Children's Service Inc (Good Habits Occupational Therapy Services)
• Good Habits Children's Service Inc (Good Habits Speech Therapy Services)
• Good Samaritan Pharmacy Inc
• Good Shepherd Hospice Care, Inc.
• Good Shepherd Physician Assistant Corporation
• Good Word Non Emergency Medical Transport Inc.
• Jessie Keiko Goodwin, PT, DPT
• Adrian Gordon
• Rachel K. Gossett, LMFT

• Family Medicine Physician in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.