Individual provider Active NPI

Shadi Kazourra, MD

  • Hospitalist Physician
  • Pasadena, CA
National Provider Identifier
1366000614
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
A183473 Issued in CA
Practice address
100 W California Blvd
Pasadena, CA 91105-3010
Phone
(626) 397-5000
NPI assigned
Jun 2, 2019
Last updated
Dec 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, NM2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231002002646 CA Practitioner - HospitalistPractitioner - Internal Medicine 5890149330 Reassigns benefits to 8 organizations
I20231121003248 NM Practitioner - Internal Medicine 5890149330 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians
Choice Urgent CareGroup PAC ID 4284168386, 12 clinicians

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 100Reported as group
Quality
87.72
Promoting interoperability
96
Improvement activities
40
Cost
74.86

Merit-based Incentive Payment System (MIPS)

Final score
48.64 of 100Reported as group
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

LicenseStateTypeSpecialty
MD2023-1390NMMDInternal Medicine Physician
A183473CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seven Star Hospital Associates Inc. CurrentSince Sep 10, 2023 Accepting new patients
The Huntington Medical Foundation Internal Medicine CurrentSince Sep 20, 2023 Accepting new patients
Hospitalist Medicine Physicians of California, Inc Internal Medicine CurrentSince Oct 1, 2023 Accepting new patients
Choice Urgent Care CurrentSince Nov 1, 2025 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Oct 1, 2024 Accepting new patients
Kaz Med Inc. Internal Medicine CurrentSince Feb 18, 2026 Accepting new patients
Las Cruces HB Medical Services LLC Hospitalist CurrentSince Feb 1, 2024 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Nov 15, 2023 Accepting new patients
Providence Saint Johns Medical Foundation Internal Medicine CurrentSince Feb 1, 2026 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

  • FHIR API: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.