Individual provider Active NPI

Shajitha Nawaz, M.D.

  • Psychiatry Physician
  • Temecula, CA
National Provider Identifier
1659476331
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2003031776 Issued in MO
Practice address
40925 County Center Dr Ste 200
Temecula, CA 92591-6037
Phone
(951) 600-6300
NPI assigned
Sep 14, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2003031776 MO Primary

Addresses

Primary practice location

40925 County Center Dr Ste 200
Temecula, CA 92591-6037

Mailing address

40925 County Center Dr Ste 200
Temecula, CA 92591-6037
Phone (951) 600-6300

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
I20120618000398 CA Practitioner - Geriatric PsychiatryPractitioner - Psychiatry 3173508579 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric PsychiatryAlso: Psychiatry
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of RiversideGroup PAC ID 6507754488, 190 clinicians

Practice addresses (Care Compare)

1330 W Ramsey
Suite 100
Banning, CA 92220
Phone (951) 849-7142

31760 Casino Dr
Lake Elsinore, CA 92530-4561
Phone (951) 943-8015

40925 County Ctr Dr
Temecula, CA 92591-6054
Phone (951) 955-1530

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2003031776MOMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Riverside Current Accepting new patients
County of Riverside CurrentSince Aug 30, 2014 Accepting new patients
County of Riverside CurrentSince Aug 30, 2014 Accepting new patients
Community Counseling Center PastSince Apr 15, 2009 Accepting new patients
Community Counseling Center Past Accepting new patients

Locations

1330 W Ramsey St
Ste 100
Banning, CA 92220
Phone (951) 849-7142

40925 County Center Dr
Ste 200
Temecula, CA 92591
Phone (951) 600-6300

Organizations & group practices 5

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1659476331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40925 COUNTY CENTER DR STE 200",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925916037",
            "telephone_number": "951-600-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40925 COUNTY CENTER DR STE 200",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925916037",
            "telephone_number": "951-600-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAWAZ",
        "first_name": "SHAJITHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2025-09-11",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2003031776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.