Shahin Javaheri MD a Professional Corporation

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

G67343 Issued in CA

Legal business name

SHAHIN JAVAHERI MD A PROFESSIONAL CORPORATION

Practice address

2100 Webster St Ste 502
San Francisco, CA 94115-2381

Phone

(415) 923-3800

Fax

(415) 923-5900

NPI assigned

Mar 27, 2018

Organization subpart

No

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

Authorized official

Name

Weixler Vila

Title

It / Billing Service

Phone

(310) 696-5400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Shahin M Javaheri, MD

  • Plastic Surgery Physician
  • Berkeley, CA
  • NPI 1962487421
  Medicare reassignment NPD

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1972008423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1029",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949421029",
            "telephone_number": "415-923-3800",
            "fax_number": "415-923-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 WEBSTER ST STE 502",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152381",
            "telephone_number": "415-923-3800",
            "fax_number": "415-923-5900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2999 Regent St Ste 401",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947052119",
            "country_code": "US",
            "telephone_number": "510-204-8800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHAHIN JAVAHERI MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-27",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "VILA",
        "authorized_official_first_name": "WEIXLER",
        "authorized_official_title_or_position": "IT / BILLING SERVICE",
        "authorized_official_telephone_number": "310-696-5400"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G67343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amit Shaham
• Shawn Kunane Shahan
• Michael Shahbaz, MD, MPH
• Niti Shahi, M.D.
• Saba Shahid, PSYD
• Oltea Shahini, APRN, CPNP-PC
• Davit Shahmanyan, MD
• Yasaman Shahmohammadi
• Jessica Shahpar, NP
• Yalda Shahram

• Plastic Surgery Physician in San Francisco, CA
• Providers in San Francisco, 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 25, 2024; 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.