Karima Shagaga

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

29319 Issued in CA

Practice address

20300 Ventura Blvd Ste 315
Woodland Hills, CA 91364-0903

Phone

(424) 274-2963

NPI assigned

Jul 19, 2017

Last updated

Jul 2, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

• Dr. Mimi Shagaga Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Woodland Hills, CA
  • NPI 1831653781
  Authorized official Same address or phone

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1528581709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13351 RIVERSIDE DR # 598D",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20300 VENTURA BLVD STE 315",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913640903",
            "telephone_number": "424-274-2963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAGAGA",
        "first_name": "KARIMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-19",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "29319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drmimi@drmimishagaga.com",
            "affiliation": "N",
            "address_1": "20300 Ventura Blvd Ste 315",
            "city": "Woodland Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913640903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• SG Detox 5156 LLC
• Helen Shaban, AUD
• Shadi Eliaspour DC (Advanced Health Center)
• Nena Rose Shadi, PHARMD
• Haleh Shafa, MD
• Akash Jaykumar Shah
• Jay Shah, M.D.
• Margiben Nemal Shah, NONE
• Shakeela F. Shah, MD
• Yasin Shah, RPH

• Clinical Psychologist in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; 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.