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SHAHRAD RADI SHAMSI, M.D. INC.
NPI 1275721656
Specialist in Santa Monica, CA

Active since October 10, 2007CLIA 05D2198807 · Certificate of Compliance
2001 SANTA MONICA BLVD, SUITE 775W, SANTA MONICA, CA 90404(310) 453-0504(310) 453-0520 Get Directions Write a Review

NPPES record last updated: March 20, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shahrad Radi Shamsi, M.d. Inc. NPPES

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

SHAHRAD RADI SHAMSI, M.D. INC. (NPI 1275721656) is a healthcare organization registered as a specialist in Santa Monica, California and active in the NPI registry since October 2007. The organization holds a CLIA Certificate of Compliance certificate valid through November 9, 2026 and lists Shahrad Radi Shamsi, President, as its authorized official.

NPPES Registry Identity

NPI1275721656
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSHAHRAD RADI SHAMSI, M.D. INC.
Location Address2001 SANTA MONICA BLVD, SUITE 775WSanta Monica, CA 90404-2102
Mailing Address2001 Santa Monica Blvd, Suite 775wSanta Monica, CA 90404-2102 · (310) 453-0504 · Fax (310) 453-0520
Phone(310) 453-0504
Fax(310) 453-0520
Organization SubpartNo
Authorized OfficialShahrad Radi ShamsiPresident · (310) 453-0504
Enumeration DateOctober 10, 2007
Last NPPES UpdateMarch 20, 2013
✔ NPI 1275721656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A68990
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2001 SANTA MONICA BLVD, Santa Monica, CA 90404
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Other Identifiers 1

Medicare PINW19454CA

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shahrad Radi Shamsi, M.d. Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Shahrad Radi Shamsi, M.D. Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Shahrad Shamsi, M.D.
Gastroenterology
NPI 1700944378
2021 SANTA MONICA BLVD STE 325E
Santa Monica, CA 90404
(310) 453-0504
✔ PECOS✔ Accepts MedicareSame address
Jin Guo, M.D.
Pathology
NPI 1538375217
11234 ANDERSON ST
Loma Linda, CA 92354
(909) 558-4094
✔ PECOS✔ Accepts Medicare70 mi

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

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 Compliance 05D2198807

Shahrad Radi Shamsi, MD Inc · Santa Monica, CA
Active · expires Nov 9, 2026
CLIA Number05D2198807
Laboratory TypePhysician Office
Certificate Effective DateNovember 10, 2024
Certificate Expiration DateNovember 9, 2026
Laboratory DirectorJin Guo
Laboratory Phone(310) 453-0504
Laboratory LocationShahrad Radi Shamsi, MD Inc2021 Santa Monica Blvd, Ste 325E, Santa Monica, CA 90404
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Shahrad Radi Shamsi, M.D. Inc.'s NPI number?

The NPI number for Shahrad Radi Shamsi, M.D. Inc. is 1275721656. It was assigned to this organization in the NPPES registry on October 10, 2007.

Where is Shahrad Radi Shamsi, M.D. Inc. located?

Shahrad Radi Shamsi, M.D. Inc. is located at 2001 Santa Monica Blvd Suite 775W, Santa Monica, CA 90404. The listed phone number is (310) 453-0504.

What is Shahrad Radi Shamsi, M.D. Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Shahrad Radi Shamsi, M.D. Inc. enrolled in Medicare?

Yes. Shahrad Radi Shamsi, M.D. Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shahrad Radi Shamsi, M.D. Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Shahrad Radi Shamsi, M.D. Inc., in Gastroenterology and Pathology. 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Shahrad Radi Shamsi, M.D. Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D2198807) is associated with this NPI, valid through November 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Shahrad Radi Shamsi, M.D. Inc. was last updated on March 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.