Mahshid Michelle Hamidi, a Medical Corporation

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A63702 Issued in CA

Legal business name

MAHSHID MICHELLE HAMIDI, A MEDICAL CORPORATION

Practice address

5222 Balboa Ave Ste 31
San Diego, CA 92117-6952

Phone

(858) 565-6394

Fax

(858) 605-6719

NPI assigned

Jul 11, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Mahshid Michelle Hamidi, MDNPI 1174534101

Title

President

Phone

(619) 443-0282

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Mahshid Michelle Hamidi, MD

  • Family Medicine Physician
  • San Diego, CA
  • NPI 1174534101
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1366964488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5222 BALBOA AVE STE 31",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176952",
            "telephone_number": "858-565-6394",
            "fax_number": "858-605-6719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5222 BALBOA AVE STE 31",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176952",
            "telephone_number": "858-565-6394",
            "fax_number": "858-605-6719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHSHID MICHELLE HAMIDI, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HAMIDI",
        "authorized_official_first_name": "MAHSHID",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-443-0282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A63702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Cole Mahoney, DPT
• James Mahooti, DDS
• Sepi Mahooti, M.D.
• Mina Mahrou
• Vanessa Mahrou, DMD
• Ali Mahta, M.D
• Mai Bui Chiropractic Inc
• Brittany Mai
• Denise Mai, MD
• Hieu Lien Mai

• Primary Care Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.