NPIMap

Individual provider Active NPI

Mohamed Ali El-Shahawy, M.D.

  • Nephrology Physician
  • Los Angeles, CA
National Provider Identifier
1760411151
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A42315 Issued in CA
Practice address
5830 Whittier Blvd
Los Angeles, CA 90022-4302
Phone
(323) 725-0051
Fax
(323) 869-9245
NPI assigned
Jun 30, 2006
Last updated
Nov 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A42315 CA Primary

Addresses

Primary practice location

5830 Whittier Blvd
Los Angeles, CA 90022-4302

Mailing address

PO Box 1019
South Pasadena, CA 91031-1019
Phone (323) 842-5772

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
I20050304000859 CA Practitioner - NephrologyPractitioner - Internal MedicinePractitioner - Endocrinology 1355331687 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Academic Medical Research Institute IncGroup PAC ID 7214980150, 2 clinicians

Practice addresses (Care Compare)

5830 Whittier Blvd
Los Angeles, CA 90022-4302
Phone (323) 725-0051

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A42315CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paramount Hope Dialysis Center LLC Current Accepting new patients
Academic Medical Research Institute Inc Nephrology CurrentSince Jan 6, 2004 Accepting new patients
City of Hope Medical Foundation CurrentSince Jun 1, 2011 Accepting new patients
Dignity Health Past Accepting new patients
Alta Los Angeles Hospital, Inc Past Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients
Usc Verdugo Hills Hospital, LLC Past Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients
East la Dialysis Center PastSince Nov 17, 2024 Accepting new patients
Ahmc Monterey Park Hospital LP Past Accepting new patients
Usc University Hospital, Inc. Past Accepting new patients

Locations

1500 Duarte Rd
Duarte, CA 91010
Phone (626) 359-8111

1500 Duarte Rd
Bldg 149
Duarte, CA 91010
Phone (626) 359-8111

1510 S Central Ave
Ste 210
Glendale, CA 91204
Phone (818) 241-7628

5830 Whittier Blvd
Los Angeles, CA 90022
Phone (323) 725-0051

1333 S Mayflower Ave
Fl 2
Monrovia, CA 91016
Phone (626) 775-3514

209 Fair Oaks Ave
South Pasadena, CA 91030
Phone (626) 359-8111

23861 McBean Pkwy
Ste B14
Valencia, CA 91355
Phone (661) 799-1999

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: melshahawy8826@cityofhope.direct-ci.com

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 8

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1760411151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1019",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910311019",
            "telephone_number": "323-842-5772",
            "fax_number": "323-869-9245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5830 WHITTIER BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900224302",
            "telephone_number": "323-725-0051",
            "fax_number": "323-869-9245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL-SHAHAWY",
        "first_name": "MOHAMED",
        "middle_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A42315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.