Individual provider Active NPI

Maya Christine Shammas, M.D.

  • Ophthalmology Physician
  • Lynwood, CA
National Provider Identifier
1649438763
Registry record updated Aug 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A113118 Issued in CA
Practice address
3510 Martin Luther King Jr Blvd
Lynwood, CA 90262-2010
Phone
(310) 638-9391
Fax
(310) 603-8749
NPI assigned
May 27, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 245279 NY
Ophthalmology Physician 207W00000X A113118 CA Primary

Addresses

Primary practice location

3510 Martin Luther King Jr Blvd
Lynwood, CA 90262-2010

Mailing address

3510 Martin Luther King Jr Blvd
Lynwood, CA 90262-2010
Phone (310) 638-9391

Other identifiers 1

IdentifierTypeStateIssuer
A113118OtherCALICENSE

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
I20101203001073 CA Practitioner - Ophthalmology 4385831296 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
JS Weill Medical College, Cornell University, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
H Shammas MD IncGroup PAC ID 4587605027, 7 clinicians

Practice addresses (Care Compare)

3510 E Martin Luther King Jr
Lynwood, CA 90262-2010

3510 Martin Luther King Jr Blvd
Lynwood, CA 90262-2010
Phone (310) 638-9391

7957 Painter Ave
Suite 203
Whittier, CA 90602-2434
Phone (562) 464-0950

8409 Florence Ave
Suite 100
Downey, CA 90240-3962
Phone (562) 862-4444

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery123

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A113118CAMDOphthalmology Physician
245279NYMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
H Shammas MD Inc Ophthalmology CurrentSince Aug 22, 2010 Accepting new patients
Verity Medical Foundation CurrentSince Aug 1, 2013 Accepting new patients
DCHS Medical Foundation CurrentSince Aug 1, 2013 Accepting new patients
Pih Health Whittier Hospital Past Accepting new patients
Pih Health Downey Hospital Past Accepting new patients
St Francis Medical Center Past Accepting new patients

Locations

8409 Florence Ave
Ste 100
Downey, CA 90240
Phone (310) 638-9391

2675 E Slauson Ave
Huntington Pk, CA 90255
Phone (213) 589-6681

623 W La Habra Blvd
La Habra, CA 90631
Phone (562) 690-8887

3628 E Imperial Hwy
Ste 408
Lynwood, CA 90262
Phone (310) 554-4127

3510 Martin Luther King Jr Blvd
Lynwood, CA 90262
Phone (310) 635-7550

7957 Painter Ave
Ste 203
Whittier, CA 90602
Phone (562) 464-0590

7957 Painter Ave
Ste 103
Whittier, CA 90602
Phone (562) 464-0590

7957 Painter Ave
Ste 101
Whittier, CA 90602
Phone (213) 728-8009

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281312000000",
    "number": "1649438763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 MARTIN LUTHER KING JR BLVD",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902622010",
            "telephone_number": "310-638-9391",
            "fax_number": "310-603-8749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 MARTIN LUTHER KING JR BLVD",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902622010",
            "telephone_number": "310-638-9391",
            "fax_number": "310-603-8749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMMAS",
        "first_name": "MAYA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-27",
        "last_updated": "2010-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "245279",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A113118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A113118",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynwood, CA

Sources for this page

Verify at the official NPI Registry.