Active NPI
Shadi Kazourra, MD
- Hospitalist Physician
- Pasadena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- A183473
- Practice address
- 100 W California Blvd
Pasadena, CA 91105-3010 - Phone
- (626) 397-5000
- NPI assigned
- Jun 2, 2019
- Last updated
- Dec 22, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD2023-1390 | NM | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Hospitalist Physician | 208M00000X | A183473 | CA | Primary |
Addresses
Primary practice location
100 W California Blvd
Pasadena, CA 91105-3010
Mailing address
2565 Kendall St
La Verne, CA 91750-3713
Phone (909) 568-8440
Other practice location 1
1117 E Devonshire Ave
Hemet, CA 92543-3083
Phone (951) 652-2811
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 W California Blvd
Pasadena, CA 91105-3010
Phone (310) 665-7200
13010 Hesperia Rd
Suite 600
Victorville, CA 92395-8321
Phone (760) 946-5888
2121 Santa Monica Blvd
Santa Monica, CA 90404-2303
Phone (310) 829-5511
2565 Kendall St
La Verne, CA 91750-3713
Phone (909) 568-8440
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.07 of 100
- Quality
- 87.72
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 74.86
Merit-based Incentive Payment System (MIPS)
- Final score
- 48.64 of 100
- Quality
- 9.4
- Improvement activities
- 40
- Cost
- 82.91
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2023-1390 | NM | MD | Internal Medicine Physician |
| A183473 | CA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seven Star Hospital Associates Inc. | Current | Accepting new patients | |
| The Huntington Medical Foundation | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of California, Inc | Internal Medicine | Current | Accepting new patients |
| Choice Urgent Care | Current | Accepting new patients | |
| Cedars-Sinai Medical Care Foundation | Current | Accepting new patients | |
| Kaz Med Inc. | Internal Medicine | Current | Accepting new patients |
| Las Cruces HB Medical Services LLC | Hospitalist | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Texas, PLLC | Internal Medicine | Current | Accepting new patients |
| Providence Saint Johns Medical Foundation | Internal Medicine | Current | Accepting new patients |
| Las Cruces Medical Center LLC | Past | Accepting new patients | |
| Saint John's Health Clinic | Past | Accepting new patients |
Locations
19111 Town Center Dr
Apple Valley, CA 92308
Phone (661) 345-3055
1117 E Devonshire Ave
Hemet, CA 92543
Phone (951) 652-2811
8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674
100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445
65 N Madison Ave
Ste 800
Pasadena, CA 91101
Phone (626) 792-3141
2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024
2336 Santa Monica Blvd
Ste 204
Santa Monica, CA 90404
Phone (310) 453-4477
1000 Greenley Rd
Sonora, CA 95370
Phone (209) 263-0803
525 W Acacia St
Stockton, CA 95203
Phone (209) 944-5410
4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780
13010 Hesperia Rd
Ste 600
Victorville, CA 92395
Phone (760) 350-2498
2811 N Main St
Las Cruces, NM 88001
Phone (575) 526-0080
4311 E Lohman Ave
Las Cruces, NM 88011
Phone (505) 556-6800
2400 Unser Blvd SE
Rio Rancho, NM 87124
Phone (505) 253-0000
120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Los Angeles, CA
- NPI 1316984388
-
- Urgent Care Clinic/Center
- Victorville, CA
- NPI 1316774243
-
- Internal Medicine Physician
- La Verne, CA
- NPI 1487504817
-
dba Saint John's Physician Partners
- Specialist
- Santa Monica, CA
- NPI 1770093734
Internal Medicine
-
- Internal Medicine Physician
- Apple Valley, CA
- NPI 1184663965
-
dba Seven Star Radiology
- Diagnostic Radiology Physician
- Hemet, CA
- NPI 1043813140
-
dba Huntington Health Physicians
- Internal Medicine Physician
- Pasadena, CA
- NPI 1154467181
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
NM
-
dba MountainView Regional Medical Center
- Emergency Medicine Physician
- Las Cruces, NM
- NPI 1598446171
Hospitalist
-
- Internal Medicine Physician
- San Bernardino, CA
- NPI 1952792475
-
dba Providence Saint John's Health Clinic
- Specialist
- Santa Monica, CA
- NPI 1336438902
-
dba Mountainview Regional Medical Center
- General Acute Care Hospital
- Las Cruces, NM
- NPI 1205882503
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Huntington Hospital
- General Acute Care Hospital
- Pasadena, CA
- NPI 1407828429
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1124026273
-
dba Golden Rose Care Center
- Skilled Nursing Facility
- Pasadena, CA
- NPI 1851987234
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703203200000",
"number": "1366000614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2565 KENDALL ST",
"city": "LA VERNE",
"state": "CA",
"postal_code": "917503713",
"telephone_number": "909-568-8440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W CALIFORNIA BLVD",
"city": "PASADENA",
"state": "CA",
"postal_code": "911053010",
"telephone_number": "626-397-5000"
}
],
"practiceLocations": [
{
"address_1": "1117 E Devonshire Ave",
"address_purpose": "LOCATION",
"city": "Hemet",
"state": "CA",
"postal_code": "925433083",
"country_code": "US",
"telephone_number": "951-652-2811",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAZOURRA",
"first_name": "SHADI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-02",
"last_updated": "2023-12-22",
"certification_date": "2023-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NM",
"license": "MD2023-1390",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CA",
"license": "A183473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.