M a Shamie MD Psychiatric Medical Group Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

M A SHAMIE MD PSYCHIATRIC MEDICAL GROUP INC

Practice address

2810 E del Mar Blvd
3
Pasadena, CA 91107-4321

Phone

(626) 577-7788

NPI assigned

May 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mohammad Ali Shamie, M.D.

Title

President

Phone

(626) 577-7788

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roya Khoshbakht I, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Pasadena, CA
  • NPI 1215742127

  Psychiatry

  Medicare reassignment NPD
• Mohammad Ali Shamie, M.D.

  • Psychiatry Physician
  • Pasadena, CA
  • NPI 1699887844
  Medicare reassignment NPD
• Brett Dean Morana, PSY.D.

  • Clinical Psychologist
  • Los Angeles, CA
  • NPI 1770634214
  NPD (past)

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666310400000",
    "number": "1528289204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 E DEL MAR BLVD",
            "address_2": "3",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911074321",
            "telephone_number": "626-577-7788",
            "fax_number": "626-577-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 E DEL MAR BLVD",
            "address_2": "3",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911074321",
            "telephone_number": "626-577-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M A SHAMIE MD PSYCHIATRIC MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A",
        "authorized_official_last_name": "SHAMIE",
        "authorized_official_first_name": "MOHAMMAD ALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-577-7788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Marie Lytwyn, MS, RD, LDN
• Lyvers & Associates, Psychological Services, Inc.
• Marguery Amelie Lyvers, PH.D.
• LZ Hospice Care Inc
• M a Saunders, a Psychological Corp
• M&I Enterprises,Inc (St.Luke Professional Pharmacy)
• Cherry Li Ma, DMD
• Christine Ma, PHARM D.
• Emily Ma
• Eva Ma, MD

• Psychiatry Physician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Psychiatry Physician in California

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