Shima Hadidchi MD a Professional Corp

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SHIMA HADIDCHI MD A PROFESSIONAL CORP

Practice address

12740 Hesperia Rd
Victorville, CA 92395

Phone

(760) 999-0918

NPI assigned

Jan 19, 2023

Organization subpart

No

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

Authorized official

Name

Shima Hadidchi

Title

MD

Phone

(760) 988-1999

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 1

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

• Lesley Karen Luna, FNP

  • Family Nurse Practitioner
  • Victorville, CA
  • NPI 1578254033
  NPD

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

{
    "created_epoch": "1674086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674086400000",
    "number": "1629783147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12740 HESPERIA RD STE B",
            "address_2": "12740 HESPERIA RD STE B",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923958306",
            "telephone_number": "760-245-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12740 HESPERIA RD",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "92395",
            "telephone_number": "760-999-0918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIMA HADIDCHI MD A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-19",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A",
        "authorized_official_last_name": "HADIDCHI",
        "authorized_official_first_name": "SHIMA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "760-988-1999"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255634383",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.shimahadidchimd.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "www.shimahadidchimd.com",
            "address_1": "12740 Hesperia Rd",
            "city": "Victorville",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923958306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Julie Shen, DDS
• Sherylann Wade, M.D., Inc.
• Makoto Shibutani
• Shiloh Medical Center Inc
• Shima Hadidchi MD a Professional Corp
• Amanda Shin, DPT
• Andrew Woochul Shin, D.D.S
• Hyun Joon Shin, DDS
• Young Shin, DPT
• Myunghee Shinpark, R.P.H.

• Family Medicine Physician in Victorville, CA
• Providers in Victorville, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.