Individual provider Active NPI

Mandana Shamsa, MD

  • Internal Medicine Physician
  • Downey, CA
National Provider Identifier
1770628638
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C150181 Issued in CA
Practice address
11500 Brookshire Ave
Downey, CA 90241
Phone
(562) 904-5000
Fax
(562) 904-5140
NPI assigned
Feb 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C150181 CA Primary

Addresses

Primary practice location

11500 Brookshire Ave
Downey, CA 90241

Mailing address

6557 Greenleaf Ave
Whittier, CA 90601-4108
Phone (562) 789-5401

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
I20180702002243 CA Practitioner - Internal Medicine 6507962321 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pih Health PhysiciansGroup PAC ID 8426951328, 616 clinicians

Practice addresses (Care Compare)

15725 Whittier Blvd
Whittier, CA 90603-2347
Phone (562) 947-1669

Hospital & facility affiliations

  • Presbyterian Intercommunity Hospital Home Health Home health agency, La Mirada, CA, CCN 057187
  • Pih Health Hospital-Whittier Hospital, Whittier, CA, CCN 050169

Merit-based Incentive Payment System (MIPS)

Final score
78.61 of 100Reported as group
Quality
58.7
Improvement activities
40
Cost
75.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C150181CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pih Health Physicians CurrentSince May 12, 2018 Accepting new patients
Pih Health Physicians Current Accepting new patients
Quantum Bay Area Hospitalist Medical Group Inc Internal Medicine CurrentSince May 26, 2022 Accepting new patients
Pih Health Physicians CurrentSince May 12, 2018 Accepting new patients
Multicare Health System Past Accepting new patients
Highline Medical Center Past Accepting new patients
North Sonoma County Health Care District Past Accepting new patients
Bright Medical Associates, Inc. Past Accepting new patients
Seahurst Pediatrics PLLC Past Accepting new patients
Providence Health & Services Washington Past Accepting new patients
Providence Health & Services Washington Past Accepting new patients
Pih Health Downey Hospital Past Accepting new patients
Swedish Health Services Past Accepting new patients

Locations

11500 Brookshire Ave
Downey, CA 90241
Phone (562) 904-5000

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

2425 Samaritan Dr
San Jose, CA 95124
Phone (408) 354-2114

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

15725 Whittier Blvd
Whittier, CA 90603
Phone (562) 448-1350

12401 Washington Blvd
Whittier, CA 90602
Phone (562) 698-0611

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mshamsa@yourcarecommunity.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 2

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": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530144000000",
    "number": "1770628638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6557 GREENLEAF AVE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906014108",
            "telephone_number": "562-789-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 BROOKSHIRE AVE",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "90241",
            "telephone_number": "562-904-5000",
            "fax_number": "562-904-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMSA",
        "first_name": "MANDANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2018-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C150181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

Verify at the official NPI Registry.