NPIMap

Organization Active NPI

Shamjaden Amersi, a Medical Incorporation

  • Obstetrics & Gynecology Physician
  • Santa Monica, CA
National Provider Identifier
1760738595
Registry record updated Jul 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A71483 Issued in CA
Legal business name
SHAMJADEN AMERSI, A MEDICAL INCORPORATION
Practice address
1115 Harvard St
Santa Monica, CA 90403-4709
Phone
(310) 663-1612
Fax
(310) 453-9278
NPI assigned
Jul 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2012

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

Authorized official

Name
Shamsah Amersi, M.D.NPI 1699743112
Title
President
Phone
(310) 663-1612

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X A71483 CA Primary

Addresses

Primary practice location

1115 Harvard St
Santa Monica, CA 90403-4709

Mailing address

1115 Harvard St
Santa Monica, CA 90403-4709
Phone (310) 663-1612

National Provider Directory

National Provider Directory

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343606400000",
    "number": "1760738595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 HARVARD ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034709",
            "telephone_number": "310-663-1612",
            "fax_number": "310-453-9278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 HARVARD ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034709",
            "telephone_number": "310-663-1612",
            "fax_number": "310-453-9278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAMJADEN AMERSI, A MEDICAL INCORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-30",
        "last_updated": "2012-07-30",
        "status": "A",
        "authorized_official_last_name": "AMERSI",
        "authorized_official_first_name": "SHAMSAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-663-1612",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A71483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; 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.