MR. MOHAMMAD A SHADJARI (NPI# 1396920864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396920864 |
Entity Type | Individual |
Full Name | MR. MOHAMMAD A SHADJARI |
Credential | PA-C |
Practice Address |
1635 E Ocean Blvd Apt. F3 Long Beach CA 90802-6001 |
Practice Telephone | 8185996944 |
Mailing Telephone | 8185996944 |
Enumeration Date | 2008-01-03 |
Last Update Date | 2008-01-03 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
CA17775 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1635 E OCEAN BLVD APT. F3 |
City | LONG BEACH |
State | CA |
Zip Code | 90802-6001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255981791 | Nena Danieles Meador | Technician | 505 West 5th St. Unit 201, Long Beach, CA 90802 | 2019-09-17 |
1881241487 | Edward De La Cruz | Technician | 425 E 3rd St., 413, Long Beach, CA 90802 | 2019-08-20 |
1992350094 | Kaitlyn May Saephan | Student in an Organized Health Care Education/Training Program | 200 Pine Avenue, Suite 400, Long Beach, CA 90802 | 2019-08-06 |
1073175881 | David Coleman | Counselor | 735 West 4th St, Unit D, Long Beach, CA 90802 | 2019-07-01 |
1235612193 | Linda Nyagaya | Nurse Practitioner | 200 Oceangate, Suite 100 Long Beach, Ca 90802, Long Beach, CA 90802 | 2018-09-06 |
1669998670 | Jessica Huerta | Student in an Organized Health Care Education/Training Program | 456 Elm, Long Beach, CA 90802 | 2017-08-22 |
1316462484 | Kathlyn Pearl Parlet | Counselor | 351 E. 6th. Street, Long Beach, CA 90802 | 2017-08-09 |
1386168136 | Shena Young | Psychologist | 404 East First St #1191, Long Beach, CA 90802 | 2017-08-02 |
1215472758 | Vanessa Pons | Marriage & Family Therapist | 735 W 4th St Unit A, Long Beach, CA 90802 | 2016-12-19 |
1821459330 | Surabhi Shah | Occupational Therapist | 330 Golden Shores, Suite 250, Long Beach, CA 90802 | 2016-03-10 |
Find all providers in zip 90802 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508261256 | Trisha Luu | Physician Assistant | 3300 E. South Street, Suite 308, Long Beach, CA 90805 | 2014-10-23 |
1316284151 | Joan Eastlack | Physician Assistant | 432 Panama Ave, Long Beach, CA 90814-1909 | 2013-01-14 |
1205125267 | Renae C Bright | Physician Assistant | 461 E Broadway, Long Beach #4, Long Beach, NY 11561-4437 | 2011-03-30 |
1881903680 | Monte Carl Burnam Physician Assistant Professional Corporation | Physician Assistant | 1145 E Amelia Dr, Long Beach, CA 90807-2403 | 2010-09-28 |
1912233438 | Wesley Charles Adams | Physician Assistant | 3559 E South St, Long Beach, CA 90805-4519 | 2009-10-19 |
1710047220 | Rosemary Tilmon-kellum | Physician Assistant | 1250 Bellflower Blvd., Student Health Center, Long Beach, CA 90840 | 2006-12-12 |
1760542930 | Paul Scott Margraf | Physician Assistant | 2880 Atlantic Ave Ste 230, Long Beach, CA 90806-1735 | 2006-12-11 |
1669404380 | Bonnie Michelle Moreno Harris | Physician Assistant | 2495 Pine Ave, Long Beach, CA 90806-3029 | 2006-07-06 |
1952850364 | Kaitlyn Vu | Physician Assistant | 2690 Pacific Ave Ste 290, Long Beach, CA 90806-2631 | 2016-09-26 |
1124473178 | Jason Ryan Lomheim | Physician Assistant | 2801 Atlantic Ave, Long Beach, CA 90806-1701 | 2016-04-27 |
Find all providers in LONG BEACH |
City | LONG BEACH |
Zip Code | 90802 |
Please comment or provide details below to improve the information on MR. MOHAMMAD A SHADJARI.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.