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SHIMA HADIDCHI MD A PROFESSIONAL CORP
NPI 1225685332
Family Medicine in Victorville, CA

Active since August 22, 2019CLIA Certified · 2 labs
12740 HESPERIA RD STE A, VICTORVILLE, CA 92395(760) 998-1999(760) 881-3555 Get Directions Write a Review

NPPES record last updated: February 29, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 29, 2020, Jan 31, 2020, Oct 22, 2019 and 4 more (7 updates tracked since 2019).

About Shima Hadidchi Md A Professional Corp NPPES

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

SHIMA HADIDCHI MD A PROFESSIONAL CORP (NPI 1225685332) is a healthcare organization registered as a family medicine in Victorville, California and active in the NPI registry since August 2019. The organization holds 2 active CLIA laboratory certificates and lists Shima Hadidchi, Owner, as its authorized official.

NPPES Registry Identity

NPI1225685332
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSHIMA HADIDCHI MD A PROFESSIONAL CORP
Location Address12740 HESPERIA RD STE AVictorville, CA 92395-8306
Mailing Address12740 Hesperia Rd Ste BVictorville, CA 92395-8306 · (760) 245-6106
Phone(760) 998-1999
Fax(760) 881-3555
Organization SubpartNo
Authorized OfficialShima HadidchiOwner · (760) 998-1999
Enumeration DateAugust 22, 2019
Last NPPES UpdateFebruary 29, 20207 updates tracked since enumeration
✔ NPI 1225685332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

12740 HESPERIA RD STE A, Victorville, CA 92395
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Other Names 1

Doing Business AsShima Hadidchi Md A Professional Corp

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

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 05D2256617

Shima Hadidchi MD A Professional Corp · Victorville, CA
Active · expires Mar 24, 2028
CLIA Number05D2256617
Laboratory TypePhysician Office
Certificate Effective DateMarch 25, 2026
Certificate Expiration DateMarch 24, 2028
Laboratory DirectorShima Hadidchi
Laboratory Phone(760) 998-1999
Laboratory LocationShima Hadidchi MD A Professional Corp12740 Hesperia Rd Ste A, Victorville, CA 92395
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2290597

Shima Hadidchi M.D A Professional Corp Dba Family Practice · Apple Valley, CA
Active · expires Sep 26, 2027
CLIA Number05D2290597
Laboratory TypePhysician Office
Certificate Effective DateSeptember 27, 2025
Certificate Expiration DateSeptember 26, 2027
Laboratory DirectorShima Hadidchi
Laboratory Phone(760) 998-1999
Laboratory LocationShima Hadidchi M.D A Professional Corp Dba Family Practice18112 Us Highway 18 Suite 102, Apple Valley, CA 92307
CLIA data matches this NPI record on: 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.

MR. JUSTIN DOUGLAS ATKINS MSN, RN, AGACNP-BC
Nurse Practitioner (Acute Care)
12740 HESPERIA RD STE A
VICTORVILLE, CA 92395
San Bernardino County (760) 998-1999
AELEEN CHARIFE BIRD NP
Nurse Practitioner (Family)
12740 HESPERIA RD STE A
VICTORVILLE, CA 92395
San Bernardino County (760) 999-0918
DR. SHIMA HADIDCHI M.D.
Family Medicine
12740 HESPERIA RD STE A
VICTORVILLE, CA 92395
San Bernardino County (760) 998-1999

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 Shima Hadidchi MD A Professional Corp's NPI number?

The NPI number for Shima Hadidchi MD A Professional Corp is 1225685332. It was assigned to this organization in the NPPES registry on August 22, 2019.

Where is Shima Hadidchi MD A Professional Corp located?

Shima Hadidchi MD A Professional Corp is located at 12740 Hesperia Rd Ste A, Victorville, CA 92395. The listed phone number is (760) 998-1999.

What is Shima Hadidchi MD A Professional Corp's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Shima Hadidchi MD A Professional Corp hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Shima Hadidchi MD A Professional Corp was last updated on February 29, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.