NPIMap

Individual provider Active NPI

Majid Shahbaz, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • La Mesa, CA
National Provider Identifier
1790966018
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
A50402 Issued in CA
Practice address
8851 Center Dr
Suite 408
La Mesa, CA 91942-3017
Phone
(619) 583-1174
Fax
(619) 583-4609
NPI assigned
Nov 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X A50402 CA Primary

Addresses

Primary practice location

8851 Center Dr
Suite 408
La Mesa, CA 91942-3017

Mailing address

8851 Center Dr
Suite 408
La Mesa, CA 91942-3017
Phone (619) 583-1174

Other identifiers 1

IdentifierTypeStateIssuer
00A504020MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address majidshahbaz@shama.allscriptsdirect.net Health Information Exchange (HIE)

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
I20080225000151 CA Practitioner - Internal MedicinePractitioner - Geriatric Medicine 6406930809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8851 Ctr Dr
Suite 408
La Mesa, CA 91942-3076
Phone (619) 583-1174

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A50402CAMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Majid Shahbaz MD Inc Geriatric Medicine CurrentSince Nov 15, 2007 Accepting new patients
Grossmont Hospital Corporation Past Accepting new patients

Locations

8851 Center Dr
Ste 408
La Mesa, CA 91942
Phone (619) 583-1174

5555 Reservoir Dr
Ste 312
San Diego, CA 92120
Phone (619) 583-1174

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mshahbaz34044@sharphealthcare.direct-ci.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 10

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": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1790966018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8851 CENTER DR",
            "address_2": "SUITE 408",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423017",
            "telephone_number": "619-583-1174",
            "fax_number": "619-583-4609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8851 CENTER DR",
            "address_2": "SUITE 408",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423017",
            "telephone_number": "619-583-1174",
            "fax_number": "619-583-4609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHBAZ",
        "first_name": "MAJID",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-15",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A50402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A504020",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "majidshahbaz@shama.allscriptsdirect.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "8851 Center Dr",
            "address_2": "Suite 408",
            "city": "LA Mesa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "919423017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.