Individual provider Active NPI

Shahab Mostafania, PA

  • Medical Physician Assistant
  • Glendale, CA
National Provider Identifier
1780643528
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA16378 Issued in CA
Practice address
401 W Los Feliz Rd Ste E
Glendale, CA 91204-2769
Phone
(818) 296-0201
NPI assigned
Mar 21, 2006
Last updated
Dec 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA16378 CA
Medical Physician Assistant 363AM0700X PA16378 CA Primary

Addresses

Primary practice location

401 W Los Feliz Rd Ste E
Glendale, CA 91204-2769

Mailing address

401 W Los Feliz Rd
Glendale, CA 91204-2769
Phone (818) 296-0201

Other practice location 1

212 Coffee Rd Ste 100
Bakersfield, CA 93309-1273
Phone (661) 885-6060

Other names 1

  • Mr. Shawn Mostafania Other name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100825000389 CA Practitioner - Physician Assistant 4486778610 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Physicians Urgent Care IncGroup PAC ID 8527234418, 138 clinicians

Practice addresses (Care Compare)

212 Coffee Rd
Suite 100
Bakersfield, CA 93309-1258

2400 K St
Bakersfield, CA 93301-4030
Phone (661) 885-9909

4040 California Ave
Bakersfield, CA 93309-1012
Phone (661) 336-2050

4871 White LN
Bakersfield, CA 93309-6375
Phone (661) 832-1679

9710 Brimhall Rd
Bakersfield, CA 93312-2779
Phone (661) 829-6747

9917 Olive Dr
Bakersfield, CA 93312-9729
Phone (661) 695-9656

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA16378CAMDMedical Physician Assistant
16378CAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SC Medical, Inc. CurrentSince Sep 1, 2023 Accepting new patients
Anaheim Urgent Care, Inc CurrentSince Mar 1, 2021 Accepting new patients
Emergency Physicians Urgent Care Inc. CurrentSince Oct 1, 2018 Accepting new patients
Anaheim Urgent Care, Inc. Current Accepting new patients

Locations

831 S State College Blvd
Anaheim, CA 92806
Phone (714) 533-2273

212 Coffee Rd
Ste 100
Bakersfield, CA 93309
Phone (661) 885-6060

4871 White Ln
Bakersfield, CA 93309
Phone (661) 832-1679

9710 Brimhall Rd
Bakersfield, CA 93312
Phone (661) 331-8640

2005 W Alameda Ave
Burbank, CA 91506
Phone (818) 476-4639

4108 Edison Ave
Ste 112
Chino, CA 91710
Phone (909) 334-4545

6789 N Blackstone Ave
Fresno, CA 93710
Phone (559) 512-3377

1300 N La Brea Ave
Los Angeles, CA 90028
Phone (323) 464-1336

5717 Melrose Ave
Los Angeles, CA 90038
Phone (323) 957-2273

888 S Figueroa St
Ste 600
Los Angeles, CA 90017

19042 Soledad Canyon Rd
Santa Clarita, CA 91351
Phone (661) 251-6300

41540 Winchester Rd
Temecula, CA 92590
Phone (951) 365-5585

Interoperability endpoints

  • Direct secure messaging: shahab.mostafania.1@27469.direct.athenahealth.com
  • Direct secure messaging: shahab.mostafania.1@29357.direct.athenahealth.com
  • Direct secure messaging: shahab.mostafania.1@31962.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1780643528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W LOS FELIZ RD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042769",
            "telephone_number": "818-296-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W LOS FELIZ RD STE E",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042769",
            "telephone_number": "818-296-0201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "212 Coffee Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933091273",
            "country_code": "US",
            "telephone_number": "661-885-6060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSTAFANIA",
        "first_name": "SHAHAB",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2024-12-06",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA16378",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA16378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAWN",
            "last_name": "MOSTAFANIA",
            "prefix": "MR.",
            "credential": "PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.