Shahin M Javaheri, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

G67343 Issued in CA

Practice address

2999 Regent St
Number 626
Berkeley, CA 94705-2146

Phone

(510) 204-8800

Fax

(415) 921-1015

NPI assigned

Dec 7, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sjavaheri160288@hisp.ehr.sutterhealth.org

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.

• Shahin Javaheri MD a Professional Corporation

  • Plastic Surgery Physician
  • San Francisco, CA
  • NPI 1972008423
  Medicare reassignment NPD

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373587200000",
    "number": "1962487421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2999 REGENT ST",
            "address_2": "NUMBER 626",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052146",
            "telephone_number": "510-204-8800",
            "fax_number": "415-921-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2999 REGENT ST",
            "address_2": "NUMBER 626",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052146",
            "telephone_number": "510-204-8800",
            "fax_number": "415-921-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAVAHERI",
        "first_name": "SHAHIN",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2013-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G67343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kalub J Jarosh, L.AC
• Benjamin Jarrahi, M.D.
• Richard Crocker Jarratt
• Esther Wong Jarvis, NP
• Neda Javadi
• Yasmin Faridun Javed, OD
• Alanna Javier
• Sarah Jay
• Jayne D Hagen
• Claire Jeannette, MFT LICENSE

• Plastic Surgery Physician in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.