Individual provider Active NPI

Mohammad Ali Shamie, M.D.

  • Psychiatry Physician
  • Pasadena, CA
National Provider Identifier
1699887844
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A39228 Issued in CA
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

Updated by the provider on Jul 8, 2007

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120125000417 CA Practitioner - Psychiatry 8820265259 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
M a Shamie MD Psychiatric Medical Group Inc Psychiatry CurrentSince May 1, 1984 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.

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

Verify at the official NPI Registry.