SHIDBAN DIALYSIS ACCESS INC
NPI 1154197911
Transplant Surgery in Los Angeles, CA
About Shidban Dialysis Access Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHIDBAN DIALYSIS ACCESS INC (NPI 1154197911) is a healthcare organization registered as a transplant surgery in Los Angeles, California and active in the NPI registry since December 2023. The organization lists Hamid Shidban, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shidban Dialysis Access Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Shidban Dialysis Access Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Shidban Dialysis Access Inc's NPI number?
The NPI number for Shidban Dialysis Access Inc is 1154197911. It was assigned to this organization in the NPPES registry on December 1, 2023.
Where is Shidban Dialysis Access Inc located?
Shidban Dialysis Access Inc is located at 1414 S Grand Ave Ste 100, Los Angeles, CA 90015. The listed phone number is (213) 797-6044.
What is Shidban Dialysis Access Inc's specialty?
The primary specialty registered for this NPI is Transplant Surgery with taxonomy code 204F00000X.
Is Shidban Dialysis Access Inc enrolled in Medicare?
Yes. Shidban Dialysis Access Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Shidban Dialysis Access Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Shidban Dialysis Access Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Shidban Dialysis Access Inc was last updated on December 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Shidban Dialysis Access Inc · NPI 1154197911
Transplant Surgery organization in Los Angeles, California. Organization record, active in the CMS NPPES registry since December 1, 2023.
## Identity
- **NPI:** 1154197911 (Entity type: Organization)
- **Enumerated:** December 1, 2023
- **Primary specialty:** Transplant Surgery · taxonomy 204F00000X
- **Organization subpart:** No
- **Authorized official:** Hamid Shidban, OWNER
## Practice location
- **Address:** 1414 S GRAND AVE STE 100, Los Angeles, CA 90015-3071
- **Phone:** (213) 797-6044 · **Fax:** (213) 481-7023
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (General Surgery) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 1, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1154197911) · Data from the CMS NPPES public registry.