Active NPI
Shima Ghavimi, M.D.
- Gastroenterology Physician
- Corona, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- C208749
- Practice address
- 2097 Compton Ave Ste 103
Corona, CA 92881-7289 - Phone
- (951) 934-0505
- NPI assigned
- Apr 10, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | MD-50743 | IA | |
| Internal Medicine Physician | 207R00000X | 29355 | WV | |
| Hepatology Physician | 207RI0008X | C208749 | CA | |
| Internal Medicine Physician | 207R00000X | C208749 | CA | |
| Gastroenterology Physician | 207RG0100X | 29355 | WV | |
| Internal Medicine Physician | 207R00000X | 25MA10563700 | NJ | |
| Hepatology Physician | 207RI0008X | 29355 | WV | |
| Gastroenterology Physician | 207RG0100X | C208749 | CA | Primary |
| Gastroenterology Physician | 207RG0100X | 25MA10563700 | NJ | |
| Hepatology Physician | 207RI0008X | MD-50743 | IA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 25MA10563700 | NJ |
Addresses
Primary practice location
2097 Compton Ave Ste 103
Corona, CA 92881-7289
Mailing address
1015 S Hackett Rd
Waterloo, IA 50701-3500
Phone (319) 234-5990
Other practice location 1
185 south orange street
newark, NJ 07103-0710
Phone (202) 480-3808
Other practice location 2
1249 15th St Ste 3000
Huntington, WV 25701-3663
Phone (304) 691-1000
Other practice location 3
2041 Georgia Avenue NW
Washangton, DC 20060
Phone (202) 865-1920
Other practice location 4
1015 S Hackett Rd
Waterloo, IA 50701
Phone (319) 234-5990
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | shima.ghavimi@marshall.cernerdirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 2008
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1015 S Hackett Rd
Cedar Valley Digestive Health Cente
Waterloo, IA 50701-3500
Phone (319) 234-5990
1825 Logan Ave
Waterloo, IA 50703-1916
Phone (319) 235-3913
Hospital & facility affiliations
- Allen Hospital
- Buchanan County Health Center
- Mercyone Waterloo Medical Center
- Floyd County Medical Center
- Grundy County Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 91 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 117 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-50743 | IA | MD | Hepatology Physician |
| 25MA10563700 | NJ | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cedar Valley Medical Specialists PC | Gastroenterology | Current | Accepting new patients |
| Cedar Valley Medical Specialists PC | Current | Accepting new patients | |
| Allen Memorial Hospital Corporation | Current | Accepting new patients | |
| Allen Memorial Hospital Corporation | Internal Medicine | Current | Accepting new patients |
| Floyd County Memorial Hospital Commission | Past | Accepting new patients | |
| Cedar Valley Medical Specialists PC | Past | Accepting new patients |
Locations
1825 Logan Ave
Waterloo, IA 50703
Phone (319) 235-3886
1015 S Hackett Rd
Waterloo, IA 50701
Phone (319) 234-5990
1753 W Ridgeway Ave
Ste 107
Waterloo, IA 50701
Phone (319) 833-5907
Interoperability endpoints
- shima.ghavimi@marshall.cernerdirect.com
Organizations & group practices 6
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.
-
- Women's Health Nurse Practitioner
- Waterloo, IA
- NPI 1891772927
-
- Orthopaedic Surgery Physician
- Waterloo, IA
- NPI 1497794242
Gastroenterology
-
- Emergency Medicine Physician
- Waterloo, IA
- NPI 1346292521
Internal Medicine
-
- Durable Medical Equipment & Medical Supplies
- Vinton, IA
- NPI 1659934180
-
- Durable Medical Equipment & Medical Supplies
- Waverly, IA
- NPI 1073567780
-
- Critical Access Hospital
- Charles City, IA
- NPI 1265402390
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Waterloo, IA
- NPI 1336231091
-
- General Acute Care Hospital
- Waterloo, IA
- NPI 1700827896
-
- Critical Access Hospital
- Charles City, IA
- NPI 1265402390
-
- Critical Access Hospital
- Grundy Center, IA
- NPI 1821055989
-
- Critical Access Hospital
- Independence, IA
- NPI 1265595144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787875200000",
"number": "1811316458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 S HACKETT RD",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507013500",
"telephone_number": "319-234-5990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2097 COMPTON AVE STE 103",
"city": "CORONA",
"state": "CA",
"postal_code": "928817289",
"telephone_number": "951-934-0505"
}
],
"practiceLocations": [
{
"address_1": "185 south orange street",
"address_purpose": "LOCATION",
"city": "newark",
"state": "NJ",
"postal_code": "071030710",
"country_code": "US",
"telephone_number": "202-480-3808",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1249 15th St Ste 3000",
"address_purpose": "LOCATION",
"city": "Huntington",
"state": "WV",
"postal_code": "257013663",
"country_code": "US",
"telephone_number": "304-691-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2041 Georgia Avenue NW",
"address_purpose": "LOCATION",
"city": "Washangton",
"state": "DC",
"postal_code": "20060",
"country_code": "US",
"telephone_number": "202-865-1920",
"fax_number": "202-865-7199",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1015 S Hackett Rd",
"address_purpose": "LOCATION",
"city": "Waterloo",
"state": "IA",
"postal_code": "50701",
"country_code": "US",
"telephone_number": "319-234-5990",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GHAVIMI",
"first_name": "SHIMA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-10",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "IA",
"license": "MD-50743",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WV",
"license": "29355",
"primary": false
},
{
"code": "207RI0008X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hepatology",
"state": "CA",
"license": "C208749",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "C208749",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "WV",
"license": "29355",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA10563700",
"primary": false
},
{
"code": "207RI0008X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hepatology",
"state": "WV",
"license": "29355",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "C208749",
"primary": true
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NJ",
"license": "25MA10563700",
"primary": false
},
{
"code": "207RI0008X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hepatology",
"state": "IA",
"license": "MD-50743",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NJ",
"license": "25MA10563700",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "shima.ghavimi@marshall.cernerdirect.com",
"affiliation": "N",
"address_1": "1249 15th St Ste 3000",
"city": "Huntington",
"state": "WV",
"country_code": "US",
"postal_code": "257013663",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.