Individual provider Active NPI

Shangida Ahsan, MD

  • Internal Medicine Physician
  • Downey, CA
National Provider Identifier
1639638463
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A178016 Issued in CA
Practice address
10441 Lakewood Blvd
Downey, CA 90241-2870
Phone
(562) 869-1089
NPI assigned
Mar 19, 2019
Last updated
Nov 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A178016 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

10441 Lakewood Blvd
Downey, CA 90241-2870

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3203

Other practice location 1

1441 Florida Ave
Modesto, CA 95350-4404
Phone (209) 576-3525

Other practice location 2

825 Delbon Ave
Turlock, CA 95382-2016
Phone (209) 576-3525

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220705002839 CA Practitioner - Internal Medicine 8628458973 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10441 Lakewood Blvd
Downey, CA 90241-2744
Phone (562) 869-1089

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A178016CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Affiliates Medical Group Internal Medicine CurrentSince Sep 11, 2023 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Sep 11, 2023 Accepting new patients
Hospitalists of Modesto Medical Group Inc Internal Medicine CurrentSince Aug 5, 2022 Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

10441 Lakewood Blvd
Downey, CA 90241
Phone (562) 869-1070

1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235

1700 McHenry Ave
Ste 65B
Modesto, CA 95350
Phone (209) 581-7063

601 Torrance Blvd
Redondo Beach, CA 90277
Phone (310) 316-0811

1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611

825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1639638463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "702-579-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10441 LAKEWOOD BLVD",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902412870",
            "telephone_number": "562-869-1089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1441 Florida Ave",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953504404",
            "country_code": "US",
            "telephone_number": "209-576-3525",
            "fax_number": "209-576-3544",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "825 Delbon Ave",
            "address_purpose": "LOCATION",
            "city": "Turlock",
            "state": "CA",
            "postal_code": "953822016",
            "country_code": "US",
            "telephone_number": "209-576-3525",
            "fax_number": "209-576-3544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHSAN",
        "first_name": "SHANGIDA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-19",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A178016",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

Verify at the official NPI Registry.