Mohammad Shahisaman, AMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

143964 Issued in CA

Practice address

2058 N Mills Ave # 1046
Claremont, CA 91711-2812

Phone

(909) 615-2280

NPI assigned

Nov 4, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1700609229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2058 N MILLS AVE # 1046",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917112812",
            "telephone_number": "909-615-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2058 N MILLS AVE # 1046",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917112812",
            "telephone_number": "909-615-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHISAMAN",
        "first_name": "MOHAMMAD",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "143964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agustina Alejandra Sepulveda, PHD, LCSW
• Michael Anthony Sequeira, M.D
• Services Center for Independent Life, Inc.
• Kimberly April Setterlund, LCSW
• Latika Shah, RPH
• Bonny Shapin, PH.D.
• Ashok Sharma, MD
• Sahil Sharma
• Angelita M Sherzada, LCSW
• Linda A. Shestock, LMFT

• Marriage & Family Therapist in Claremont, CA
• Providers in Claremont, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.