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GOOD SHEPHERD MD PROF INC
NPI 1336839273
Family Medicine in Rancho Cucamonga, CA

Active since May 12, 2023
8283 GROVE AVE STE 102, RANCHO CUCAMONGA, CA 91730(909) 480-4808(909) 480-4843 Get Directions Write a Review

NPPES record last updated: May 26, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 26, 2023, May 12, 2023 (2 updates tracked since 2023).

About Good Shepherd Md Prof Inc NPPES

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

GOOD SHEPHERD MD PROF INC (NPI 1336839273) is a healthcare organization registered as a family medicine in Rancho Cucamonga, California and active in the NPI registry since May 2023. The organization lists Amin Abdelmeseeh, President, as its authorized official.

NPPES Registry Identity

NPI1336839273
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGOOD SHEPHERD MD PROF INC
Location Address8283 GROVE AVE STE 102Rancho Cucamonga, CA 91730-3138
Mailing Address8283 Grove Ave Ste 102Rancho Cucamonga, CA 91730-3138 · (909) 480-4808 · Fax (909) 480-4843
Phone(909) 480-4808
Fax(909) 480-4843
Organization SubpartNo
Authorized OfficialAmin AbdelmeseehPresident · (909) 480-4808
Enumeration DateMay 12, 2023
Last NPPES UpdateMay 26, 20232 updates tracked since enumeration
NPPES CertifiedMay 26, 2023
✔ NPI 1336839273 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.
8283 GROVE AVE STE 102, Rancho Cucamonga, CA 91730
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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 MULTIPLE 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)

Good Shepherd Md Prof 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 Good Shepherd MD Prof Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Amin Abdelmeseeh, MD
Family Practice
NPI 1699823518
7000 BOULDER AVE
Highland, CA 92346
(909) 862-1191
✔ PECOS✔ Accepts Medicare25 mi

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 Good Shepherd MD Prof Inc's NPI number?

The NPI number for Good Shepherd MD Prof Inc is 1336839273. It was assigned to this organization in the NPPES registry on May 12, 2023.

Where is Good Shepherd MD Prof Inc located?

Good Shepherd MD Prof Inc is located at 8283 Grove Ave Ste 102, Rancho Cucamonga, CA 91730. The listed phone number is (909) 480-4808.

What is Good Shepherd MD Prof Inc's specialty?

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

Is Good Shepherd MD Prof Inc enrolled in Medicare?

Yes. Good Shepherd MD Prof Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Good Shepherd MD Prof Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Good Shepherd MD Prof 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 Good Shepherd MD Prof Inc was last updated on May 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.