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SHASHITA INAMDAR MD PROFESSIONAL CORPORATION
NPI 1902220809
Psychiatry & Neurology - Psychiatry in San Diego, CA

Active since February 12, 2014
4510 EXECUTIVE DR, STE 115, SAN DIEGO, CA 92121(858) 427-5060(619) 383-6701 Get Directions Write a Review

NPPES record last updated: January 10, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shashita Inamdar Md Professional Corporation NPPES

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

SHASHITA INAMDAR MD PROFESSIONAL CORPORATION (NPI 1902220809) is a healthcare organization registered as a psychiatry in San Diego, California and active in the NPI registry since February 2014. The organization lists Trina Robin Weatherford, Officer, as its authorized official.

NPPES Registry Identity

NPI1902220809
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameSHASHITA INAMDAR MD PROFESSIONAL CORPORATION
Location Address4510 EXECUTIVE DR, STE 115San Diego, CA 92121-3021
Mailing AddressPo Box 601422San Diego, CA 92160-1422 · (619) 383-6700 · Fax (619) 383-6701
Phone(858) 427-5060
Fax(619) 383-6701
Organization SubpartNo
Authorized OfficialTrina Robin WeatherfordOfficer · (619) 383-6700
Enumeration DateFebruary 12, 2014
Last NPPES UpdateJanuary 10, 2020
✔ NPI 1902220809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
4510 EXECUTIVE DR, San Diego, CA 92121
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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 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)

Shashita Inamdar Md Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Shashita Inamdar MD Professional Corporation, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Kristi Tasker, LCSW
Clinical Social Worker
NPI 1518972918
8555 SW APPLE WAY STE 320
Portland, OR 97225
(503) 298-4592
✔ PECOS✔ Accepts Medicare919 mi
Allison Hadley, M.D.
Psychiatry
NPI 1710027396
700 NE MULTNOMAH ST STE 870
Portland, OR 97232
(503) 298-4592
✔ PECOS✔ Accepts Medicare920 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 Shashita Inamdar MD Professional Corporation's NPI number?

The NPI number for Shashita Inamdar MD Professional Corporation is 1902220809. It was assigned to this organization in the NPPES registry on February 12, 2014.

Where is Shashita Inamdar MD Professional Corporation located?

Shashita Inamdar MD Professional Corporation is located at 4510 Executive Dr Ste 115, San Diego, CA 92121. The listed phone number is (858) 427-5060.

What is Shashita Inamdar MD Professional Corporation's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Shashita Inamdar MD Professional Corporation enrolled in Medicare?

Yes. Shashita Inamdar MD Professional Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shashita Inamdar MD Professional Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Shashita Inamdar MD Professional Corporation, in Clinical Social Worker and Psychiatry. 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 Shashita Inamdar MD Professional Corporation was last updated on January 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.