Active NPI
Mohammad Jehad Shakfeh, M.D
- Gastroenterology Physician
- Chino, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- C43299
- Practice address
- 12598 Central Ave
Suite 101
Chino, CA 91710-3502 - Phone
- (909) 606-4860
- Fax
- (909) 606-1653
- NPI assigned
- Jun 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | C43299 | CA | Primary |
Addresses
Primary practice location
12598 Central Ave
Suite 101
Chino, CA 91710-3502
Mailing address
12598 Central Ave
Suite 101
Chino, CA 91710-3502
Phone (909) 606-4860
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C432991 | Medicaid | CA |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051216000798 | CA | Practitioner - Gastroenterology | 2062325392 | Practice locations: Chino, CA; Rancho Cucamonga, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
12598 Central Ave
Suite 101
Chino, CA 91710-3500
Phone (909) 606-4860
9140 Haven Ave
Suite 115
Rancho Cucamonga, CA 91730-5414
Phone (909) 606-4860
Hospital & facility affiliations
- Montclair Hospital Medical Center
- Chino Valley Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 201 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 100 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C43299 | CA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meridian Medical Center of Chino | Gastroenterology | Past | Accepting new patients |
| Marian a. Fedak M.D. Medical Corporation | Past | Accepting new patients | |
| Ep Quianzon, MD Inc | Past | Accepting new patients | |
| Muhammad Hammami MD Inc | Gastroenterology | Past | Accepting new patients |
| Jingjie Xue Inc | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 5
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.
-
- Surgery Physician
- Chino, CA
- NPI 1366521304
-
- Anesthesiology Physician
- Los Alamitos, CA
- NPI 1326218652
-
- Specialist
- Los Angeles, CA
- NPI 1619077138
-
- Gastroenterology Physician
- Chino, CA
- NPI 1487858031
-
- Gastroenterology Physician
- Rancho Cucamonga, CA
- NPI 1134826951
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Montclair, CA
- NPI 1992721161
-
- General Acute Care Hospital
- Chino, CA
- NPI 1962407460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464912000000",
"number": "1457399032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12598 CENTRAL AVE",
"address_2": "SUITE 101",
"city": "CHINO",
"state": "CA",
"postal_code": "917103502",
"telephone_number": "909-606-4860",
"fax_number": "909-606-1653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12598 CENTRAL AVE",
"address_2": "SUITE 101",
"city": "CHINO",
"state": "CA",
"postal_code": "917103502",
"telephone_number": "909-606-4860",
"fax_number": "909-606-1653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAKFEH",
"first_name": "MOHAMMAD",
"middle_name": "JEHAD",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-03",
"last_updated": "2016-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "C43299",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C432991",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; 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.