Active NPI
Mohammad Ali Shamie, M.D.
- Psychiatry Physician
- Pasadena, CA
National Provider Identifier
1699887844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A39228
- Practice address
- 2810 E del Mar Blvd
Suite 3
Pasadena, CA 91107-4321 - Phone
- (626) 577-7788
- Fax
- (626) 577-8177
- NPI assigned
- Aug 31, 2006
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A39228 | CA | Primary |
Addresses
Primary practice location
2810 E del Mar Blvd
Suite 3
Pasadena, CA 91107-4321
Mailing address
2810 E del Mar Blvd
Suite 3
Pasadena, CA 91107-4321
Phone (626) 577-7788
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
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1962
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2810 E del Mar Blvd
Suite 3
Pasadena, CA 91107-4322
Phone (626) 577-7788
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M a Shamie MD Psychiatric Medical Group Inc | Psychiatry | Current | Accepting new patients |
Locations
2810 E Del Mar Blvd
Ste 3
Pasadena, CA 91107
Phone (626) 577-7788
Organizations & group practices 1
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.
-
- Psychiatry Physician
- Pasadena, CA
- NPI 1528289204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699887844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2810 E DEL MAR BLVD",
"address_2": "SUITE 3",
"city": "PASADENA",
"state": "CA",
"postal_code": "911074321",
"telephone_number": "626-577-7788",
"fax_number": "626-577-8177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2810 E DEL MAR BLVD",
"address_2": "SUITE 3",
"city": "PASADENA",
"state": "CA",
"postal_code": "911074321",
"telephone_number": "626-577-7788",
"fax_number": "626-577-8177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAMIE",
"first_name": "MOHAMMAD",
"middle_name": "ALI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A39228",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.