1. Home
  2. Directory
  3. California
  4. West Sacramento
  5. Pediatrics
  6. NPI Profile

SHAUGHN MITCHELL HEAD MD
NPI 1548723091
Pediatrics in West Sacramento, CA

Active since April 11, 2019PECOS Enrolled
155 15TH ST STE A, WEST SACRAMENTO, CA 95691(916) 454-2345 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 9, 2023, Apr 11, 2019 (2 updates tracked since 2019).

About Shaughn Mitchell Head Md NPPES

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

SHAUGHN MITCHELL HEAD MD (NPI 1548723091) is an individual pediatrics provider in West Sacramento, California, licensed in California (188415) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548723091
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameSHAUGHN MITCHELL HEADCredential: MD
Location Address155 15TH ST STE AWest Sacramento, CA 95691-3737
Mailing Address1860 Howe Ave Ste 440Sacramento, CA 95825-1098 · (916) 569-8484
Phone(916) 454-2345
Sole ProprietorYes
Enumeration DateApril 11, 2019
Last NPPES UpdateAugust 9, 20232 updates tracked since enumeration
NPPES CertifiedAugust 9, 2023
✔ NPI 1548723091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · 188415
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
155 15TH ST STE A, West Sacramento, CA 95691
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shaughn Mitchell Head 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95691 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

Other Providers at the Same Location NPPES 8

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

GRACE TIDWELL MD
Family Medicine
155 15TH ST STE A
WEST SACRAMENTO, CA 95691
Yolo County (916) 454-2345
ELICA HEALTH CENTERS
Clinic/Center (Federally Qualified Health Center (FQHC))
155 15TH ST STE A
WEST SACRAMENTO, CA 95691
Yolo County (916) 454-2345
MS. MARINA ROBLES LCSW
Social Worker
155 15TH ST STE A
WEST SACRAMENTO, CA 95691
Yolo County (855) 354-2242
ERICA RAMIREZ P.A
Physician Assistant
155 15TH ST STE A
WEST SACRAMENTO, CA 95691
Yolo County (916) 454-2345
SARAH ELIZABETH RAMOS AGUILAR NP
Nurse Practitioner (Family)
155 15TH ST STE A
W SACRAMENTO, CA 95691
Yolo County (916) 569-8484
VERA PAVLOVNA KONDRASHOV
Physician Assistant
155 15TH ST STE A
WEST SACRAMENTO, CA 95691
Yolo County (855) 354-2242
TATYANA DECK PA
Physician Assistant (Medical)
155 15TH ST STE A
WEST SACRAMENTO, CA 95691
Yolo County (916) 454-2345
NUSRAT UDDIN TANNI MD
Internal Medicine
155 15TH ST STE A
WEST SACRAMENTO, CA 95691
Yolo County (916) 454-2345

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 Shaughn Head's NPI number?

The NPI number for Shaughn Head is 1548723091. It was assigned to this individual provider in the NPPES registry on April 11, 2019.

Where is Shaughn Head located?

Shaughn Head practices at 155 15th St Ste A, West Sacramento, CA 95691. The listed phone number is (916) 454-2345.

What is Shaughn Head's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Shaughn Head enrolled in Medicare?

Yes. Shaughn Head is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shaughn Head was last updated on August 9, 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.