Active NPI
Shikib Mostamand, M.D.
- Pediatric Gastroenterology Physician
- Palo Alto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- A140840
- Practice address
- 725 Welch Rd
Palo Alto, CA 94304-1601 - Phone
- (650) 497-8000
- NPI assigned
- May 14, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A140840 | CA | |
| Pediatrics Physician | 208000000X | 1740626969 | CA | |
| Pediatric Gastroenterology Physician | 2080P0206X | A140840 | CA | Primary |
Addresses
Primary practice location
725 Welch Rd
Palo Alto, CA 94304-1601
Mailing address
725 Welch Rd
Palo Alto, CA 94304-1601
Phone (650) 497-8000
Other practice location 1
22865 Tindaya
Mission Viejo, CA 92692-1326
Phone (949) 244-0019
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
- Pediatric Medicine
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
725 Welch Rd
Palo Alto, CA 94304-1601
Phone (650) 498-7200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1740626969 | CA | MD | Pediatrics Physician |
| A140840 | CA | MD | Pediatric Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stanford Health Care | Current | Accepting new patients | |
| Children'S Hospital Los Angeles Medical Group, Inc. | Pediatrics | Current | Accepting new patients |
| Stanford Health Care | Pediatrics | Current | Accepting new patients |
| LPCH Medical Group Div of Lucile | Pediatrics | Current | Accepting new patients |
| Stanford Health Care | Pediatrics | Current | Accepting new patients |
| Stanford Hospital and Clinics | Past | Accepting new patients | |
| Lucile Salter Packard Children'S Hospital at Stanford | Past | Accepting new patients |
Locations
4650 W Sunset Blvd
#76
Los Angeles, CA 90027
Phone (323) 669-2113
4650 W Sunset Blvd
Los Angeles, CA 90027
Phone (323) 361-2122
7999 Gateway Blvd
Ste 200
Newark, CA 94560
Phone (510) 806-2947
725 Welch Rd
Ste MC5519
Palo Alto, CA 94304
725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979
300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710
Organizations & group practices 7
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.
-
- Multi-Specialty Clinic/Center
- Los Angeles, CA
- NPI 1265530653
Pediatrics
-
- Specialty Pharmacy
- Mountain View, CA
- NPI 1760366132
-
- Children's Hospital
- Palo Alto, CA
- NPI 1467442749
-
- Clinical Medical Laboratory
- Palo Alto, CA
- NPI 1174698468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712707200000",
"number": "1740626969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 WELCH RD",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943041601",
"telephone_number": "650-497-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 WELCH RD",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943041601",
"telephone_number": "650-497-8000"
}
],
"practiceLocations": [
{
"address_1": "22865 Tindaya",
"address_purpose": "LOCATION",
"city": "Mission Viejo",
"state": "CA",
"postal_code": "926921326",
"country_code": "US",
"telephone_number": "949-244-0019",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOSTAMAND",
"first_name": "SHIKIB",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-14",
"last_updated": "2024-04-10",
"certification_date": "2024-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A140840",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "1740626969",
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "CA",
"license": "A140840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.