Taher A Shams

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A41410 Issued in CA

Practice address

34845 Yucaipa Blvd.,
Suite #a
Yucaipa, CA 92399-4237

Phone

(909) 480-5691

Fax

(909) 790-5878

NPI assigned

Nov 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• East Los Angeles Clinica Medica General Medical Center Inc

  • Multi-Specialty Clinic/Center
  • Los Angeles, CA
  • NPI 1053368530
  NPD (past)

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276214400000",
    "number": "1508934415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34845 YUCAIPA BLVD.,",
            "address_2": "SUITE # A",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923994237",
            "telephone_number": "909-480-5691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34845 YUCAIPA BLVD.,",
            "address_2": "SUITE #A",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923994237",
            "telephone_number": "909-480-5691",
            "fax_number": "909-790-5878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMS",
        "first_name": "TAHER",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2010-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A41410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A414100",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stuart Seheult, D.D.S.
• Eric Senosiain
• Alina Seratt, PA-C
• Ghazaleh Shafee, MSP
• Belinda Anne Shalhoub, SRNA
• Jamie Shuman
• Khwaja Ali Siddiqui, MD
• Korie Siets
• Robert Paul Simmons, L.AC.
• Singh MD a Professional Medical Corporation- Urgent Cares

• General Practice Physician in Yucaipa, CA
• Providers in Yucaipa, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.