Individual provider Active NPI

Mohmad S Shaikh

  • Internal Medicine Physician
  • Redlands, CA
National Provider Identifier
1962031955
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A187340 Issued in CA
Practice address
350 Terracina Blvd
Redlands, CA 92373-4897
Phone
(909) 335-5500
NPI assigned
Apr 2, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.146412 OH
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X A187340 CA Primary

Addresses

Primary practice location

350 Terracina Blvd
Redlands, CA 92373-4897

Mailing address

425 W 5TH St
East Liverpool, OH 43920-2498
Phone (330) 385-7200

Other practice location 1

425 W 5th St
East Liverpool, OH 43920-2498
Phone (330) 385-7200

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
I20230921002607 CA Practitioner - Internal MedicinePractitioner - Hospitalist 0941654156 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Galen Inpatient Physicians PCGroup PAC ID 3678464633, 1,045 clinicians
Lakewood Hospitalist Medical Group IncGroup PAC ID 4981141496, 23 clinicians

Practice addresses (Care Compare)

1115 S Sunset Ave
West Covina, CA 91790-3940
Phone (626) 962-4011

300 W Hungtington Dr
Arcadia, CA 91007-3402
Phone (626) 898-8000

3700 S St
Lakewood, CA 90712-1419
Phone (310) 698-5452

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.54 of 100Reported as group
Improvement activities
40
Cost
69.07

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A187340CAMDInternal Medicine Physician
35.146412OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakewood Hospitalist Medical Group, Inc Internal Medicine CurrentSince Oct 1, 2024 Accepting new patients
Elite Medical Group of Southern California Internal Medicine CurrentSince Mar 13, 2024 Accepting new patients
Arcadia Hospitalist Medical Group, Inc. Internal Medicine CurrentSince Jan 1, 2024 Accepting new patients
Darin Rentz DO PC CurrentSince Apr 7, 2024 Accepting new patients
Quantum Healthcare Medical Associates Inc. Internal Medicine CurrentSince Aug 9, 2023 Accepting new patients

Locations

300 W Huntington Dr
Arcadia, CA 91007
Phone (626) 445-4441

600 N Highland Springs Ave
Banning, CA 92220
Phone (833) 443-6287

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1800

3700 South St
Lakewood, CA 90712
Phone (562) 424-2900

400 N McDowell Blvd
Petaluma, CA 94954
Phone (707) 778-1111

8816 Foothill Blvd
#103338
Rch Cucamonga, CA 91730

350 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-5500

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

1805 Medical Center Dr
Sn Bernrdno, CA 92411
Phone (909) 877-6333

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

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.

Hospital & facility affiliations 5

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": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1962031955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W 5TH ST",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439202498",
            "telephone_number": "330-385-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 TERRACINA BLVD",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734897",
            "telephone_number": "909-335-5500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 W 5th St",
            "address_purpose": "LOCATION",
            "city": "East Liverpool",
            "state": "OH",
            "postal_code": "439202498",
            "country_code": "US",
            "telephone_number": "330-385-7200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAIKH",
        "first_name": "MOHMAD",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-02",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.146412",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A187340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

Verify at the official NPI Registry.