Shahram S Mirhashemi, MD in San Fernando, CA

Shahram S Mirhashemi, MD is a medicare enrolled "Family Medicine" physician in San Fernando, California. He graduated from medical school in 1994 and has 31 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Tri-state Community Healthcare Center and his current practice location is 11273 Laurel Canyon Blvd Ste 2, San Fernando, California. You can reach out to his office (for appointments etc.) via phone at (818) 853-2220.

Shahram S Mirhashemi is licensed to practice in California (license number A96427) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1912071556.

Contact Information

	Shahram S Mirhashemi, MD
	11273 Laurel Canyon Blvd Ste 2, San Fernando, CA 91340-4357
	(818) 853-2220
	(818) 853-2221

Map and Direction

Physician's Profile

Full Name	Shahram S Mirhashemi
Gender	Male
Speciality	Family Practice
Experience	31 Years
Location	11273 Laurel Canyon Blvd Ste 2, San Fernando, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Shahram S Mirhashemi graduated from medical school in 1994

NPI Data:

NPI Number: 1912071556
Provider Enumeration Date: 11/17/2006
Last Update Date: 06/30/2025

Medicare PECOS Information:

PECOS PAC ID: 3476645235
Enrollment ID: I20241105000434

Medical Identifiers

Medical identifiers for Shahram S Mirhashemi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912071556	NPI	-	NPPES
GR0066310	Medicaid	CA
W13536	Other	CA	GROUP MEDICARE #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	73146 (Arizona)	Secondary
207Q00000X	Family Medicine	26450 (Nevada)	Secondary
207Q00000X	Family Medicine	A96427 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Western Arizona Regional Medical Center	Bullhead city, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Tri-state Community Healthcare Center	5597991968	5

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shahram S Mirhashemi allows following entities to bill medicare on his behalf.

Entity Name	Tri-state Community Healthcare Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174125892 PECOS PAC ID: 5597991968 Enrollment ID: O20220329002701

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. Shahram S Mirhashemi 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
Shahram S Mirhashemi, MD 1535 E Colorado St, Glendale, CA 91205-1513 Ph: () -	Shahram S Mirhashemi, MD 11273 Laurel Canyon Blvd Ste 2, San Fernando, CA 91340-4357 Ph: (818) 853-2220

Reviews and Comments

Family Medicine Doctors in San Fernando, CA

Robert Partovy, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 501 N Maclay Ave, San Fernando, CA 91340 Phone: 818-361-3788 Fax: 818-361-4630
Gloria Monsalve, M.D Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1172 N Maclay Ave, San Fernando, CA 91340 Phone: 818-898-1388
Eric Andrew Williams, FNP Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1172 N Maclay Ave, San Fernando, CA 91340 Phone: 818-898-1388
Dr. Leonel Martinez, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1600 San Fernando Rd, San Fernando, CA 91340 Phone: 818-365-8086
Nancy Elizabeth Fitts, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1600 San Fernando Rd, San Fernando, CA 91340 Phone: 818-365-8086
Dr. Tanyech Patricia Walford, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1172 N Maclay Ave, San Fernando, CA 91340 Phone: 818-898-1388
Dr. Allison Eyvonne Campos, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 San Fernando Rd, San Fernando, CA 91340 Phone: 818-365-8086

Shahram S Mirhashemi, MD - Medicare Family Practice in San Fernando, CA