Individual provider Active NPI

Shadi Milani-Nejad, D.O.

  • Neurology Physician
  • Riverside, CA
National Provider Identifier
1780048769
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
20A16024 Issued in CA
Practice address
4234 Riverwalk Pkwy Ste 280
Riverside, CA 92505-3370
Phone
(951) 785-7190
Fax
(951) 688-7246
NPI assigned
Apr 6, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 20A16024 CA Primary

Addresses

Primary practice location

4234 Riverwalk Pkwy Ste 280
Riverside, CA 92505-3370

Mailing address

4234 Riverwalk Pkwy Ste 280
Riverside, CA 92505-3370
Phone (951) 785-7190

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
I20210510002181 CA Practitioner - Neurology 2769721612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Arizona College of Osteopathic Medicine Mid Western University, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baldev S Rai MD IncGroup PAC ID 2668562232, 7 clinicians

Practice addresses (Care Compare)

4234 Riverwalk Pkwy
Suite 280
Riverside, CA 92505-3370
Phone (951) 785-7190

Hospital & facility affiliations

  • Loma Linda University Medical Center Hospital, Loma Linda, CA, CCN 050327

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A16024CAMDNeurology Physician
16024CAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baldev S Rai MD Inc Neurology CurrentSince Aug 1, 2022 Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients

Locations

1839 W Redlands Blvd
#280
Redlands, CA 92373

1839 W Redlands Blvd
Redlands, CA 92373
Phone (951) 785-7190

4234 Riverwalk Pkwy
Ste 280
Riverside, CA 92505
Phone (909) 784-7190

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: shadi.milani.p1@direct.pnsm.nextgenshare.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1780048769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4234 RIVERWALK PKWY STE 280",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925053370",
            "telephone_number": "951-785-7190",
            "fax_number": "951-688-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4234 RIVERWALK PKWY STE 280",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925053370",
            "telephone_number": "951-785-7190",
            "fax_number": "951-688-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILANI-NEJAD",
        "first_name": "SHADI",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-06",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "20A16024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.