SHIMA HADIDCHI MD A PROFESSIONAL CORP
NPI 1225685332
Family Medicine in Victorville, CA
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
Specialties & Licenses
Other Names 1
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)
Shima Hadidchi Md A Professional Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Shima Hadidchi MD A Professional Corp, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, CACertificate of Waiver 05D2290597
Shima Hadidchi M.D A Professional Corp Dba Family Practice · Apple Valley, CAFrequently 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.
Is Shima Hadidchi MD A Professional Corp enrolled in Medicare?
Yes. Shima Hadidchi MD A Professional Corp is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Shima Hadidchi MD A Professional Corp?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Shima Hadidchi MD A Professional Corp, in Family Practice and Nurse Practitioner. 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Shima Hadidchi Md A Professional Corp · NPI 1225685332
Family Medicine organization in Victorville, California. Organization record, active in the CMS NPPES registry since August 22, 2019.
## Identity
- **NPI:** 1225685332 (Entity type: Organization)
- **Enumerated:** August 22, 2019
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Shima Hadidchi, OWNER
## Practice location
- **Address:** 12740 HESPERIA RD STE A, Victorville, CA 92395-8306
- **Phone:** (760) 998-1999 · **Fax:** (760) 881-3555
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 29, 2020
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1225685332) · Data from the CMS NPPES public registry.