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TAHER A SHAMS
NPI 1508934415
General Practice in Yucaipa, CA

Active since November 30, 2006PECOS Enrolled
34845 YUCAIPA BLVD.,, SUITE #A, YUCAIPA, CA 92399(909) 480-5691(909) 790-5878 Get Directions Write a Review

NPPES record last updated: June 11, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Taher A Shams NPPES

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

TAHER A SHAMS (NPI 1508934415) is an individual general practice provider in Yucaipa, California, licensed in California (A41410) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508934415
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameTAHER A SHAMS
Location Address34845 YUCAIPA BLVD.,, SUITE #AYucaipa, CA 92399-4237
Mailing Address34845 Yucaipa Blvd.,, Suite # AYucaipa, CA 92399-4237 · (909) 480-5691
Phone(909) 480-5691
Fax(909) 790-5878
Sole ProprietorYes
Enumeration DateNovember 30, 2006
Last NPPES UpdateJune 11, 2010
✔ NPI 1508934415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · A41410
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
34845 YUCAIPA BLVD.,, Yucaipa, CA 92399
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Other Identifiers 3

Medicaid00A414100CA
Medicare ID-Type UnspecifiedWA41410IPpin Number (grp W14027)
Medicare UPINA85624

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Taher A Shams 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.

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.

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims372 services$2.40 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims3,720 services$0.29 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Taher Shams's NPI number?

The NPI number for Taher Shams is 1508934415. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Where is Taher Shams located?

Taher Shams practices at 34845 Yucaipa Blvd., Suite #a, Yucaipa, CA 92399. The listed phone number is (909) 480-5691.

What is Taher Shams's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Taher Shams enrolled in Medicare?

Yes. Taher Shams is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Taher Shams was last updated on June 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.