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SHADI MEDICAL CORPORATION
NPI 1104997311
Clinic/Center - Urgent Care in Los Angeles, CA

Active since November 10, 2006CLIA 05D1012719 · Waiver
8815 W PICO BLVD, LOS ANGELES, CA 90035(323) 938-9999(323) 456-0880 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 3, 2026, Sep 15, 2025, Sep 26, 2024 and 1 more (4 updates tracked since 2020).

About Shadi Medical Corporation NPPES

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

SHADI MEDICAL CORPORATION (NPI 1104997311) is a healthcare organization registered as an urgent care in Los Angeles, California and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through May 18, 2027 and lists Payam Shadi, President, as its authorized official.

NPPES Registry Identity

NPI1104997311
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameSHADI MEDICAL CORPORATION
Location Address8815 W PICO BLVDLos Angeles, CA 90035-3301
Mailing AddressPo Box 49879Los Angeles, CA 90049-0879 · (323) 938-9999 · Fax (323) 456-0880
Phone(323) 938-9999
Fax(323) 456-0880
Organization SubpartNo
Authorized OfficialPayam ShadiPresident · (323) 938-9999
Enumeration DateNovember 10, 2006
Last NPPES UpdateApril 3, 20264 updates tracked since enumeration
NPPES CertifiedApril 3, 2026
✔ NPI 1104997311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License A78965 (CA)
8815 W PICO BLVD, Los Angeles, CA 90035
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Other Identifiers 1

Medicaid1104997311CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1012719

Shadi Medical Corporation · Los Angeles, CA
Active · expires May 18, 2027
CLIA Number05D1012719
Laboratory TypePhysician Office
Certificate Effective DateMay 19, 2025
Certificate Expiration DateMay 18, 2027
Laboratory DirectorPayam Shadi
Laboratory Phone(323) 938-9999
Laboratory LocationShadi Medical Corporation8815 W Pico Blvd, Los Angeles, CA 90035
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

PS HEALTH CORPORATION
Internal Medicine (Sleep Medicine)
8815 W PICO BLVD
LOS ANGELES, CA 90035
Los Angeles County (323) 938-9999
PAYAM SHADI M.D.
Internal Medicine (Sleep Medicine)
8815 W PICO BLVD
LOS ANGELES, CA 90035
Los Angeles County (323) 938-9999
MYMD URGENT CARE
Clinic/Center (Urgent Care)
8815 W PICO BLVD
LOS ANGELES, CA 90035
Los Angeles County (408) 416-5371

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 Shadi Medical Corporation's NPI number?

The NPI number for Shadi Medical Corporation is 1104997311. It was assigned to this organization in the NPPES registry on November 10, 2006.

Where is Shadi Medical Corporation located?

Shadi Medical Corporation is located at 8815 W Pico Blvd, Los Angeles, CA 90035. The listed phone number is (323) 938-9999.

What is Shadi Medical Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Does Shadi Medical Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1012719) is associated with this NPI, valid through May 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Shadi Medical Corporation was last updated on April 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.