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DR. NICOLE KRISTINE SHAH-GHASSEMZADEH D.O.
NPI 1679916027
Internal Medicine in Loma Linda, CA

Active since April 16, 2013
JERRY L. PETTIS MEMORIAL VETERANS HOSPITAL - GASTROENTE, 11201 BENTON STREET, LOMA LINDA, CA 92357(909) 558-4000 Get Directions Write a Review

NPPES record last updated: August 27, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 27, 2020, Jun 21, 2016, May 18, 2016 (3 updates tracked since 2016).

About Dr. Nicole Kristine Shah-ghassemzadeh D.o. NPPES

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

DR. NICOLE KRISTINE SHAH-GHASSEMZADEH D.O. (NPI 1679916027) is an individual internal medicine provider in Loma Linda, California, licensed in California (13979) and active in the NPI registry since April 2013.

NPPES Registry Identity

NPI1679916027
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. NICOLE KRISTINE SHAH-GHASSEMZADEHCredential: D.O.
Location AddressJERRY L. PETTIS MEMORIAL VETERANS HOSPITAL - GASTROENTE, 11201 BENTON STREETLoma Linda, CA 92357
Mailing AddressJerry L. Pettis Memorial Veterans Hospital - Gastroente, 11201 Benton StreetLoma Linda, CA 92357 · (909) 558-4000
Phone(909) 558-4000
Sole ProprietorNo
Enumeration DateApril 16, 2013
Last NPPES UpdateAugust 27, 20203 updates tracked since enumeration
NPPES CertifiedAugust 27, 2020
✔ NPI 1679916027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · 13979
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
JERRY L. PETTIS MEMORIAL VETERANS HOSPITAL - GASTROENTE, Loma Linda, CA 92357
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Other Names 1

Former Name (1)Dr. Nicole Kristine Shah D.o.

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 Nicole Shah-ghassemzadeh's NPI number?

The NPI number for Nicole Shah-ghassemzadeh is 1679916027. It was assigned to this individual provider in the NPPES registry on April 16, 2013. The provider is also known as Dr. Nicole Kristine Shah D.O..

Where is Nicole Shah-ghassemzadeh located?

Nicole Shah-ghassemzadeh practices at Jerry L. Pettis Memorial Veterans Hospital - Gastroente 11201 Benton Street, Loma Linda, CA 92357. The listed phone number is (909) 558-4000.

What is Nicole Shah-ghassemzadeh's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Nicole Shah-ghassemzadeh was last updated on August 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.