SHAUGHN MITCHELL HEAD MD
NPI 1548723091
Pediatrics in West Sacramento, CA
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
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shaughn Mitchell Head Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Shaughn Head reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Concord, CA 94520
- Reassigned Medicare billing, California enrollment
- 27 clinicians in this Medicare group
Concord, CA 94519
- Reassigned Medicare billing, California enrollment
- 66 clinicians in this Medicare group
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 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.
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.
WEST SACRAMENTO, CA 95691
W SACRAMENTO, CA 95691
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.
Which organizations bill Medicare for Shaughn Head's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shaughn Head reassigns Medicare benefits to 2 organizations: Jiva Health Primary Care (Concord, CA) and Jiva Health, Inc (Concord, CA). Each 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 Shaughn Head's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Shaughn Mitchell Head, MD · NPI 1548723091
Pediatrics physician in West Sacramento, California. Individual provider, active in the CMS NPPES registry since April 11, 2019.
## Identity
- **NPI:** 1548723091 (Entity type: Individual)
- **Enumerated:** April 11, 2019
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 188415 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 155 15TH ST STE A, West Sacramento, CA 95691-3737
- **Phone:** (916) 454-2345
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Jiva Health Primary Care (NPI 1972560381, Concord, CA); Jiva Health, Inc (NPI 1285223552, Concord, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 9, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1548723091) · Data from the CMS NPPES public registry.