Organization Active NPI

Ong Rubin Shahmir a Medical Corporation

  • Nephrology Physician
  • Fairfield, CA
National Provider Identifier
1992000152
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
ONG RUBIN SHAHMIR A MEDICAL CORPORATION
Practice address
1411 Oliver Rd Ste 250
Fairfield, CA 94534-3425
Phone
(707) 446-4379
Fax
(707) 446-4417
NPI assigned
Jan 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Authorized official

Name
Ehsan Shahmir, MDNPI 1700855210
Title
Partner/Practice Physician
Phone
(707) 446-4379

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

1411 Oliver Rd Ste 250
Fairfield, CA 94534-3425

Mailing address

1411 Oliver Rd Ste 250
Fairfield, CA 94534-3425
Phone (707) 446-4379

Other names 1

  • SOLANO KIDNEY CARE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110513000289 CA Part B Supplier - Clinic/Group Practice 7315123007 Receives reassigned benefits from 6 practitioners
Practice locations: Fairfield, CA

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1411 Oliver Rd
Ste 250
Fairfield, CA 94534
Phone (707) 426-5407

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1295481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1992000152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 OLIVER RD STE 250",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945343425",
            "telephone_number": "707-446-4379",
            "fax_number": "707-446-4417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 OLIVER RD STE 250",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945343425",
            "telephone_number": "707-446-4379",
            "fax_number": "707-446-4417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONG RUBIN SHAHMIR A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-20",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "SHAHMIR",
        "authorized_official_first_name": "EHSAN",
        "authorized_official_title_or_position": "PARTNER/PRACTICE PHYSICIAN",
        "authorized_official_telephone_number": "707-446-4379",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOLANO KIDNEY CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.