Organization Active NPI

Shahin Laghaee MD Inc

  • Specialist
  • Oakdale, CA
National Provider Identifier
1568500684
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A82720 Issued in CA
Legal business name
SHAHIN LAGHAEE MD INC
Practice address
250 S Oak Ave
Building a Suite 3
Oakdale, CA 95361-3572
Phone
(209) 848-1488
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Authorized official

Name
Shahin Laghaee, MDNPI 1487611026
Title
President
Phone
(209) 575-4575

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A82720 CA Primary

Addresses

Primary practice location

250 S Oak Ave
Building a Suite 3
Oakdale, CA 95361-3572

Mailing address

PO Box 3749
Modesto, CA 95352-3749
Phone (209) 575-4575

Other identifiers 1

IdentifierTypeStateIssuer
00A827200MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031126000372 CA Part B Supplier - Clinic/Group Practice 6305740762 Receives reassigned benefits from 1 practitioner
Practice locations: Modesto, CA; Oakdale, CA; Placerville, CA

National Provider Directory

National Provider Directory
Tax ID family
Shahin Laghaee MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

250 S Oak Ave
Ste A3
Oakdale, CA 95361
Phone (209) 848-1488

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1568500684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3749",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953523749",
            "telephone_number": "209-575-4575",
            "fax_number": "209-575-4598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 S OAK AVE",
            "address_2": "BUILDING A SUITE 3",
            "city": "OAKDALE",
            "state": "CA",
            "postal_code": "953613572",
            "telephone_number": "209-848-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAHIN LAGHAEE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "LAGHAEE",
        "authorized_official_first_name": "SHAHIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-575-4575",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A82720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A827200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.