SHIMA HADIDCHI MD A PROFESSIONAL CORP NPI 1629783147

NPI Information

  • NPI: 1629783147
  • Provider Name: SHIMA HADIDCHI MD A PROFESSIONAL CORP
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 12740 HESPERIA RD
    VICTORVILLE, CA
    ZIP 92395
  • Phone: (760) 999-0918

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NPI Details

SHIMA HADIDCHI MD A PROFESSIONAL CORP is a family medicine in Victorville, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SHIMA HADIDCHI MD A PROFESSIONAL CORP NPI is 1629783147. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12740 HESPERIA RD
VICTORVILLE, CA
ZIP 92395
Phone: (760) 999-0918

The provider's authorized official is Shima Hadidchi .
The authorized official title is Md and has the following contact phone number (760) 988-1999.

The enumeration date for this NPI number is 1/19/2023 and was last updated on 1/19/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1255634383MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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