1. Home
  2. Directory
  3. California
  4. Loma Linda
  5. Pediatrics
  6. NPI Profile

MAMTA D SHAH DO
NPI 1083235006
Pediatrics - Pediatric Critical Care Medicine in Loma Linda, CA

Active since April 30, 2020PECOS Enrolled
11234 ANDERSON ST, LOMA LINDA, CA 92354(905) 558-4250 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mamta D Shah Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAMTA D SHAH DO (NPI 1083235006) is an individual pediatric critical care medicine provider in Loma Linda, California, licensed in California (20A21088) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083235006
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameMAMTA D SHAHCredential: DO
Location Address11234 ANDERSON STLoma Linda, CA 92354-2804
Mailing Address27431 San Bernardino Ave Apt 263Redlands, CA 92374-5087 · (562) 584-3661
Phone(905) 558-4250
Sole ProprietorNo
Enumeration DateApril 30, 2020
Last NPPES UpdateJune 30, 2023
NPPES CertifiedJune 30, 2023
✔ NPI 1083235006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in CA · 20A21088
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
11234 ANDERSON ST, Loma Linda, CA 92354
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mamta D Shah Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELYSE LAUREN GURAN
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4015
SAMUEL COOK CHAMBI
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4015
LUIS MIGUEL OLMEDO TEMICH MD
General Practice
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2822
HYUKJE SUNG MD, MA
Preventive Medicine (Occupational Medicine)
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-6491
JEFFERSON BRANCH RICHARDS
Student in an Organized Health Care Education/Training Program
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4074
JOSEPH UNIS M.D.
Radiology (Diagnostic Radiology)
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-8311
MARINA LIU M.D.
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4475
JOSEPH M WILKINSON CRNA
Nurse Anesthetist, Certified Registered
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4475

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mamta Shah's NPI number?

The NPI number for Mamta Shah is 1083235006. It was assigned to this individual provider in the NPPES registry on April 30, 2020.

Where is Mamta Shah located?

Mamta Shah practices at 11234 Anderson St, Loma Linda, CA 92354. The listed phone number is (905) 558-4250.

What is Mamta Shah's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Mamta Shah enrolled in Medicare?

Yes. Mamta Shah is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mamta Shah was last updated on June 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.