NPIMap

Individual provider Active NPI

Shiva Nancy Shabnam, M.D.

  • Internal Medicine Physician
  • Downey, CA
National Provider Identifier
1679802037
Registry record updated May 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A110335 Issued in CA
Practice address
10800 Paramount Blvd
406
Downey, CA 90241-3331
Phone
(562) 869-1070
Fax
(562) 869-6317
NPI assigned
Dec 15, 2009
Last updated
May 12, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A110335 CA Primary

Addresses

Primary practice location

10800 Paramount Blvd
406
Downey, CA 90241-3331

Mailing address

10800 Paramount Blvd
406
Downey, CA 90241-3331
Phone (562) 869-1070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110510000583 CA Practitioner - Internal Medicine 5092991992 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
GN Medical Associates, IncGroup PAC ID 5092605816, 40 clinicians
Mobile Care Medical Group IncGroup PAC ID 7315330859, 4 clinicians

Practice addresses (Care Compare)

3090 Bristol St
Suite 200
Costa Mesa, CA 92626-3061
Phone (888) 789-9585

3850 Smith St
Unit 3
Union City, CA 94587-2614
Phone (213) 567-4520

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A110335CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sansum Clinic CurrentSince Dec 2, 2022 Accepting new patients
Sansum Clinic Current Accepting new patients
GN Medical Associates, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Careconnectmd Ca PC CurrentSince Jul 1, 2024 Accepting new patients
Mobile Care Medical Group, Inc CurrentSince Jul 20, 2024 Accepting new patients
Mobile Care Medical Group, Inc CurrentSince Jul 20, 2024 Accepting new patients
Healthcare Partners Affiliates Medical Group Internal Medicine Current Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jan 29, 2012 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jan 29, 2012 Accepting new patients
Sansum Clinic CurrentSince Dec 2, 2022 Accepting new patients
GLC Wellness Center LLC Past Accepting new patients

Locations

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

495 E Rincon St
Ste 105
Corona, CA 92879
Phone (888) 969-9808

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

1200 E Route 66
Ste 102
Glendora, CA 91740
Phone (213) 567-4520

11600 Indian Hills Rd
Mission Hills, CA 91345
Phone (818) 781-7097

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

1750 Montgomery St
Fl 1
San Francisco, CA 94111
Phone (714) 619-8777

3401 W Sunflower Ave
#250
Santa Ana, CA 92704
Phone (415) 848-8258

215 Pesetas Ln
Santa Barbara, CA 93110
Phone (805) 681-1765

317 W Pueblo St
Santa Barbara, CA 93105
Phone (805) 681-7500

473 E Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

473 S Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

3850 Smith St
Unit 3
Union City, CA 94587
Phone (213) 261-4978

Interoperability endpoints

  • Direct secure messaging: shiva.shabnam.1@29786.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Skylar Hospice Care IncSherman Oaks, CA, CCN B31520 Hospice Contracted Managing Employee Jul 1, 2025
Idt Hospice Care IncGlendale, CA, CCN B41594 Hospice Contracted Managing Employee
Operational/Managerial Control		 Dec 15, 2022
Dec 15, 2022

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

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 9

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": "1260835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273622400000",
    "number": "1679802037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 PARAMOUNT BLVD",
            "address_2": "406",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902413331",
            "telephone_number": "562-869-1070",
            "fax_number": "562-869-6317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 PARAMOUNT BLVD",
            "address_2": "406",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902413331",
            "telephone_number": "562-869-1070",
            "fax_number": "562-869-6317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHABNAM",
        "first_name": "SHIVA",
        "middle_name": "NANCY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-15",
        "last_updated": "2010-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A110335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

Verify at the official NPI Registry.