Active NPI
Shahnawaz S Jaffer, M.D.
- Gastroenterology Physician
- Covina, CA
National Provider Identifier
1649301698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- A26483
- Practice address
- 247 W San Bernardino Rd
Covina, CA 91723-1516 - Phone
- (626) 915-7100
- Fax
- (626) 478-1499
- NPI assigned
- Mar 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | A26483 | CA | Primary |
Addresses
Primary practice location
247 W San Bernardino Rd
Covina, CA 91723-1516
Mailing address
247 W San Bernardino Rd
Covina, CA 91723-1516
Phone (626) 915-7100
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101011000270 | CA | Practitioner - Internal Medicine | 3971572819 | Practice locations: Covina, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1967
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
247 W San Bernardino Rd
Covina, CA 91723-1516
Phone (626) 915-7100
Hospital & facility affiliations
- Hakimi Home Health, Inc
- Emanate Health Inter-Community Hospital
- Emanate Health Foothill Presbyterian Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 128 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 254 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A26483 | CA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emanate Health Medical Center | Past | Accepting new patients | |
| Emanate Health Medical Center | Past | Accepting new patients |
Interoperability endpoints
- shahnawazjaffer.123.149@securemailmdscloud.mdsynergy.com
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- West Covina, CA
- NPI 1063441293
-
- General Acute Care Hospital
- Covina, CA
- NPI 1982629440
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Glendora, CA
- NPI 1992733513
-
- General Acute Care Hospital
- West Covina, CA
- NPI 1063441293
-
- Psychiatric Hospital Unit
- Covina, CA
- NPI 1215063151
-
- General Acute Care Hospital
- Covina, CA
- NPI 1982629440
-
- Home Health Agency
- Pasadena, CA
- NPI 1265841936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278374400000",
"number": "1649301698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "247 W SAN BERNARDINO RD",
"city": "COVINA",
"state": "CA",
"postal_code": "917231516",
"telephone_number": "626-915-7100",
"fax_number": "626-478-1499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "247 W SAN BERNARDINO RD",
"city": "COVINA",
"state": "CA",
"postal_code": "917231516",
"telephone_number": "626-915-7100",
"fax_number": "626-478-1499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAFFER",
"first_name": "SHAHNAWAZ",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-08",
"last_updated": "2010-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "A26483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; 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.