Organization Active NPI

Mohtasham Shalikar

  • Durable Medical Equipment & Medical Supplies
  • Riverside, CA
National Provider Identifier
1659350510
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
100945 Issued in CA
Legal business name
MOHTASHAM SHALIKAR
Practice address
6570 Magnolia Ave
Riverside, CA 92506-2410
Phone
(951) 343-1082
Fax
(951) 343-1363
NPI assigned
Jan 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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

Authorized official

Name
Mr. Mohtasham Shalikar, MASTER OF ART IN POP
Title
Owner Manager
Phone
(951) 343-1082

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 100945 CA Primary

Addresses

Primary practice location

6570 Magnolia Ave
Riverside, CA 92506-2410

Mailing address

6570 Magnolia Ave
Riverside, CA 92506-2410
Phone (951) 343-1082

Other identifiers 1

IdentifierTypeStateIssuer
DME02100FMedicaidCA

Other names 1

  • Discount Medical Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1659350510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6570 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062410",
            "telephone_number": "951-343-1082",
            "fax_number": "951-343-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6570 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062410",
            "telephone_number": "951-343-1082",
            "fax_number": "951-343-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHTASHAM SHALIKAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-10",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "SHALIKAR",
        "authorized_official_first_name": "MOHTASHAM",
        "authorized_official_title_or_position": "OWNER MANAGER",
        "authorized_official_telephone_number": "951-343-1082",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MASTER OF ART IN POP"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "100945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME02100F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Discount Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.