SHAFEEQ S SHAMSID-DEEN MD
NPI 1275646952
Family Medicine in Los Angeles, CA

Q: What is Shafeeq Shamsid-deen's NPI number?

The NPI number for Shafeeq Shamsid-deen is 1275646952. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Q: What is Shafeeq Shamsid-deen's specialty?

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

Active since August 16, 2006PECOS Enrolled

5970 S CENTRAL AVE, LOS ANGELES, CA 90001(323) 234-3280(323) 234-3493 Get Directions Write a Review

NPPES record last updated: November 8, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 8, 2019, Jul 11, 2019 (2 updates tracked since 2019).

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About Shafeeq S Shamsid-deen Md NPPES

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

SHAFEEQ S SHAMSID-DEEN MD (NPI 1275646952) is an individual family medicine provider in Los Angeles, California, licensed in California (G36419) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Azusa.

NPPES Registry Identity

NPI1275646952

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameSHAFEEQ S SHAMSID-DEENCredential: MD

Location Address5970 S CENTRAL AVELos Angeles, CA 90001

Mailing Address1000 San Gabriel Blvd Ste 200Rosemead, CA 91770-4394 · (877) 358-5841 · Fax (323) 248-7044

Phone(323) 234-3280

Fax(323) 234-3493

Sole ProprietorYes

Enumeration DateAugust 16, 2006

Last NPPES UpdateNovember 8, 20192 updates tracked since enumeration

✔ NPI 1275646952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · G36419

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.

5970 S CENTRAL AVE, Los Angeles, CA 90001

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Secondary Practice Location 1

Location 1150 N Azusa AveAzusa, CA 91702-3521 · Phone (626) 969-7885 · Fax (626) 969-9686

Other Identifiers 2

Other952662606CA · Tax Id #

OtherG36419CA · License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shafeeq S Shamsid-deen Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Shafeeq Shamsid-deen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Central City Community Health Center Inc

Same address

Federally Qualified Health Center (FQHC)

5970 S CENTRAL AVE
Los Angeles, CA 90001

Reassigned Medicare billing, California enrollment
91 clinicians in this Medicare group

NPI 1235283094 (323) 234-3280

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90001 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

9 suppliers23 claims49 services$4.22 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

5 suppliers14 claims15 services$0.91 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

TARYN BAER DO

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