Mohamed Adam Shaban, M.D.

Primary specialty

Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X

License

A167544 Issued in CA

Practice address

2701 Atlantic Ave
Long Beach, CA 90806-2701

Phone

(714) 377-6993

Fax

(562) 933-8557

NPI assigned

Apr 14, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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 1

Specialty

Gastroenterology

Education

Other, 2009

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: mshaban763560@direct.memorialcare.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Edward P. Laurance, MD Inc

  • Pediatric Gastroenterology Physician
  • Sierra Madre, CA
  • NPI 1225422033
  Medicare reassignment NPD
• Pediatric Gastroenterology Associates of Southern California

  • Pediatric Gastroenterology Physician
  • Long Beach, CA
  • NPI 1366687147
  Medicare reassignment NPD
• Valley Children'S Medical Group

  • Pediatrics Physician
  • Modesto, CA
  • NPI 1437555265
  Medicare reassignment NPD
• West Coast Pediatric Gastroenterology

  • Pediatric Gastroenterology Physician
  • San Dimas, CA
  • NPI 1316791932
  NPD Authorized official

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

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1427477892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 NEWPORT BLVD STE 235",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926272281",
            "telephone_number": "949-646-6224",
            "fax_number": "949-646-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 ATLANTIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062701",
            "telephone_number": "714-377-6993",
            "fax_number": "562-933-8557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHABAN",
        "first_name": "MOHAMED",
        "middle_name": "ADAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-14",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "CA",
            "license": "A167544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rashauna Seymore
• Shalonda Seymore
• Madelyn Clair Seymour, MS, CF-SLP
• Laura Sezonov, PHARMD
• SGP Inc
• Youssef Shaban, DO
• Shaheh Shabanian, LCSW128329
• Luke Shackelford
• Keymia Japerell Shade
• Jacquelyn Shader

• Pediatric Gastroenterology Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Pediatric Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.

Verify at the official NPI Registry.