Shadi a. Qasqas MD, Inc.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

A102826 Issued in CA

Legal business name

SHADI A. QASQAS MD, INC.

Practice address

1646 N Palm Ave
Upland, CA 91784-1922

Phone

(909) 489-0727

NPI assigned

May 13, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Shadi A Qasqas, A102826NPI 1740498328

Title

M.D.

Phone

(909) 489-0727

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shadi Ali Qasqas, M.D.

  • Interventional Cardiology Physician
  • Rancho Cucamonga, CA
  • NPI 1740498328

  Cardiovascular Disease

  Medicare reassignment NPD Authorized official
• William Kerr, M.S. PA-C

  • Physician Assistant
  • Lake Elsinore, CA
  • NPI 1720480767
  Medicare reassignment
• John William Hathaway Jr., FNP

  • Family Nurse Practitioner
  • Lake Elsinore, CA
  • NPI 1497641732
  NPD (past)

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

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242172800000",
    "number": "1891929287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1646 N PALM AVE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917841922",
            "telephone_number": "909-489-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1646 N PALM AVE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917841922",
            "telephone_number": "909-489-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHADI A. QASQAS MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-13",
        "last_updated": "2009-05-13",
        "status": "A",
        "authorized_official_last_name": "QASQAS",
        "authorized_official_first_name": "SHADI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "909-489-0727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "A102826"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A102826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Marie Sepeda
• Cynthia Lee Serabyn, DO
• Serrano Medical Equipment and Supplis
• Alexa Rayne Sers
• Ariel Severson
• Shadie R. Azar, DMD, MSD,PC
• Heena Ankit Shah-Patel, M.D.
• Krutika Shah
• Neil Shah, MD
• Shashi K Shah, MD

• Cardiovascular Disease Physician in Upland, CA
• Providers in Upland, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.