Individual provider Active NPI

Shahram Sean Daneshmand, M.D.

  • Maternal & Fetal Medicine Physician
  • San Diego, CA
National Provider Identifier
1891867412
Registry record updated Aug 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
A63844 Issued in CA
Practice address
9333 Genesee Ave
San Diego, CA 92121
Phone
(858) 882-8350
Fax
(858) 882-8383
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X A63844 CA Primary
Obstetrics & Gynecology Physician 207V00000X A63844 CA

Addresses

Primary practice location

9333 Genesee Ave
San Diego, CA 92121

Mailing address

10790 Rancho Bernardo Rd
San Diego, CA 92127-5705
Phone (858) 882-8350

Other identifiers 1

IdentifierTypeStateIssuer
00A638440MedicaidCA

Other names 1

  • Dr. Sean Daneshmand 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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061228000377 CA Practitioner - Obstetrics/GynecologyPractitioner - Pediatric Medicine 3870593643 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: Pediatric Medicine
Education
New York Medical College and Hospital for Women, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scripps HealthGroup PAC ID 9234033853, 1,450 clinicians

Practice addresses (Care Compare)

9888 Genesee Ave
La Jolla, CA 92037-1205
Phone (858) 626-4123

9896 Genesee Ave
La Jolla, CA 92037-1205
Phone (858) 626-4123

9898 Genesee Ave
La Jolla, CA 92037-1205
Phone (858) 455-9100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A63844CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health CurrentSince Aug 13, 2018 Accepting new patients
Scripps Health Obstetrics & Gynecology Current Accepting new patients
Scripps Health Current Accepting new patients
Scripps Health Obstetrics & Gynecology CurrentSince Aug 13, 2018 Accepting new patients
Scripps Health Current Accepting new patients
Centro de Salud de la Comunidad de San Ysidro Inc CurrentSince Jul 5, 2011 Accepting new patients
Centro de Salud de la Comunidad de San Ysidro, Inc. CurrentSince Jul 5, 2011 Accepting new patients
Centro de Salud de la Comunidad de San Ysidro, Inc. Current Accepting new patients
Scripps Clinic Medical Group Past Accepting new patients
Scripps Health Past Accepting new patients
Sharp Memorial Hospital Past Accepting new patients
Grossmont Hospital Corporation Past Accepting new patients
Scripps Health Past Accepting new patients
Regents of the University of California Past Accepting new patients
Scripps Health Past Accepting new patients

Locations

1637 Third Ave
Ste B
Chula Vista, CA 91911
Phone (619) 425-1780

865 Third Ave
Ste 133
Chula Vista, CA 91911
Phone (619) 205-1360

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

9834 Genesee Ave
Ste 128
La Jolla, CA 92037
Phone (585) 554-7555

File 54433
Los Angeles, CA 90074
Phone (858) 784-5645

1136 D Ave
National City, CA 91950
Phone (619) 336-2300

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

550 Washington St
Ste 423
San Diego, CA 92103
Phone (619) 297-5321

10790 Rancho Bernardo Rd
San Diego, CA 92127
Phone (858) 554-2626

3020 Childrens Way
San Diego, CA 92123
Phone (858) 966-5841

3020 Childrens Way
#5112
San Diego, CA 92123

4004 Beyer Blvd
San Ysidro, CA 92173
Phone (619) 428-1330

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: sdaneshmand79650@scrippshlth.medalliesdirect.net
  • Direct secure messaging: sdaneshmand18818@syhealth.direct-ci.com

Organizations & group practices 15

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 15

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534896000000",
    "number": "1891867412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10790 RANCHO BERNARDO RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921275705",
            "telephone_number": "858-882-8350",
            "fax_number": "858-882-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9333 GENESEE AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92121",
            "telephone_number": "858-882-8350",
            "fax_number": "858-882-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANESHMAND",
        "first_name": "SHAHRAM",
        "middle_name": "SEAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2018-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "CA",
            "license": "A63844",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A63844",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A638440",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SEAN",
            "last_name": "DANESHMAND",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.