Shahid Latif, MD

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

C129435 Issued in CA

Practice address

18280 Siskiyou Rd
Apple Valley, CA 92307-1413

Phone

(760) 242-9999

Fax

(760) 242-1121

NPI assigned

May 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

Specialty

Radiation Oncology

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mojave Radiation Oncology Medical Group IncGroup PAC ID 2860446143, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Mojave Radiation Oncology Medical Group, Inc.

  • Radiation Oncology Physician
  • Apple Valley, CA
  • NPI 1407861818
  Medicare reassignment Care Compare group NPD
• Community Hospital of San Bernardino

  • Pediatric Skilled Nursing Facility
  • San Bernardino, CA
  • NPI 1851395685
  NPD (past)
• Desert Valley Hospital, LLC

  • General Acute Care Hospital
  • Victorville, CA
  • NPI 1851396576
  NPD (past)
• Dignity Health

  • General Acute Care Hospital
  • San Bernardino, CA
  • NPI 1689769911
  NPD (past)
• Casa Grande Community Hospital

  • General Acute Care Hospital
  • Casa Grande, AZ
  • NPI 1437107208
  NPD (past)
• MD Med Inc

  • Multi-Specialty Clinic/Center
  • Sierra Vista, AZ
  • NPI 1700964038
  NPD (past)

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1629022553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 WOODMONT BLVD STE 500",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052245",
            "telephone_number": "562-492-6695",
            "fax_number": "562-988-0389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18280 SISKIYOU RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071413",
            "telephone_number": "760-242-9999",
            "fax_number": "760-242-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATIF",
        "first_name": "SHAHID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "AZ",
            "license": "30940",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "C129435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE MEDICARE ADVANTAGE",
            "identifier": "777903",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "745763",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0727110",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Larkins
• Matthew Larsen, DNP, CNM, WHNP-BC
• Todd Anthone Larson, M.D
• Johnny Ray Latham
• Rachel-Gayle Latham
• Dana M Latta
• Mark P Lauron, M.D.
• Cheri Lynn Lawler, P.A-C
• Lawrence Chiropractic, Inc.
• Christopher M Lawrence, D.C.

• Radiation Oncology Physician in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Radiation Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; 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.

Verify at the official NPI Registry.