Taher A Shams, is a medicare enrolled "General Practice" physician in Yucaipa, California. His current practice location is
34845 Yucaipa Blvd.,, Suite #a, Yucaipa, California. You can reach out to his office (for appointments etc.) via phone at
(909) 480-5691.
Taher A Shams is licensed to practice in California (license number A41410) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1508934415.
Physician's Profile
Full Name | Taher A Shams |
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Gender | Male |
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Speciality | General Practice |
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Location | 34845 Yucaipa Blvd.,, Yucaipa, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1508934415
- Provider Enumeration Date: 11/30/2006
- Last Update Date: 06/11/2010
Medicare PECOS Information:
- PECOS PAC ID: 0749380731
- Enrollment ID: I20100616000419
Medical Identifiers
Medical identifiers for Taher A Shams such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508934415 | NPI | - | NPPES |
00A414100 | Medicaid | CA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | A41410 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Taher A Shams is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Taher A Shams, 34845 Yucaipa Blvd.,, Suite # A, Yucaipa, CA 92399-4237 Ph: (909) 480-5691 | Taher A Shams, 34845 Yucaipa Blvd.,, Suite #a, Yucaipa, CA 92399-4237 Ph: (909) 480-5691 |
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