Shiva Mohtashami (NPI# 1043566623, PAC ID# 6103130406) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1043566623 |
| PAC ID by PECOS | 6103130406 |
| Professional Enrollment ID | I20180718001709 |
| Full Name | Shiva Mohtashami |
| Organization Legal Name | YOUR MEDICAL GROUP INC |
| Address |
591 Mccray St Suite 231 Hollister CA 95023-2224 |
| Phone Number | 8316367495 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5395068563 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050296 | HAZEL HAWKINS MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 591 Mccray St, Suite 231, Hollister, CA 95023-2224 | 8316367495 | YOUR MEDICAL GROUP INC |
| Organization Legal Name | YOUR MEDICAL GROUP INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arminda S Tolentino | Family Medicine | Your Medical Group Inc | 591 Mccray St, Hollister, CA 95023-2224 |
| Kenneth Ping Jiang | Internal Medicine | Your Medical Group Inc | 591 Mccray St, Hollister, CA 95023-2224 |
| Street Address |
591 MCCRAY ST SUITE 231 |
| City | HOLLISTER |
| State | CA |
| Zip | 95023-2224 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arminda S Tolentino | Family Medicine | Your Medical Group Inc | 591 Mccray St, Hollister, CA 95023-2224 |
| Dilshad M Kheraj | Family Medicine | Paul Percival, Md Inc | 591 Mccray St, Suite 221, Hollister, CA 95023-2224 |
| Kenneth Ping Jiang | Internal Medicine | Your Medical Group Inc | 591 Mccray St, Hollister, CA 95023-2224 |
| Paul J Percival | Family Medicine | Paul Percival, Md Inc | 591 Mccray St, Suite 221, Hollister, CA 95023-2224 |
| Basilio B Aromin | Physical Therapy | Pinnacle Healthcare Medical Group-watsonville, Inc. | 591 Mccray St, Suite 101, Hollister, CA 95023-2224 |
| Lawrence S Gamboa | Family Practice | Pinnacle Healthcare Medical Group-watsonville, Inc. | 591 Mccray St, Hollister, CA 95023-2224 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Herbert A Cruz | Psychiatry | San Benito County | 1131 San Felipe Rd, Hollister, CA 95023-2800 |
| Peter S Huang | Psychiatry | San Benito County | 1131 San Felipe Rd, Hollister, CA 95023-2800 |
| Elizabeth Lopez Sarabia | Clinical Social Worker | San Benito County | 1131 San Felipe Rd, Hollister, CA 95023-2800 |
| Ellen Y Suski | Clinical Social Worker | San Benito County | 1131 San Felipe Rd, Hollister, CA 95023-2800 |
| Gene A Oler | Clinical Social Worker | San Benito County | 1131 San Felipe Rd, Hollister, CA 95023-2800 |
| Anna M Lewellen | Physical Therapy | 321 San Felipe Rd, Suite 16, Hollister, CA 95023-3035 | |
| Sylvia L Morgan | Obstetrics/gynecology | 191 San Felipe Rd, Suite P, Hollister, CA 95023-3036 | |
| Glenn Arthur Cooperman | Obstetrics/gynecology | San Benito Health Foundation | 351 Felice Dr, Hollister, CA 95023-3361 |
| Donald R Wolff | Ophthalmology | San Benito Health Foundation | 351 Felice Dr, Hollister, CA 95023-3361 |
| Deann Campbell | Nurse Practitioner | San Benito Health Foundation | 351 Felice Dr, Hollister, CA 95023-3361 |
| Find all physicians in zip 95023 | |||
| City | HOLLISTER |
| Zip Code | 95023 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | HOLLISTER + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Shiva Mohtashami.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.