DR. SHIMA HADIDCHI M.D. NPI 1780975839

NPI Information

  • NPI: 1780975839
  • Provider Name: DR. SHIMA HADIDCHI, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • CLIA Number: 05D2290597
  • Address: 12740 HESPERIA RD STE A
    VICTORVILLE, CA
    ZIP 92395
  • Phone: (760) 998-1999

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NPI Details

DR. Shima Hadidchi, M.D. is a family medicine in Victorville, CA with 22 years of experience. 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. DR. Shima Hadidchi, M.D. NPI is 1780975839. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12740 HESPERIA RD STE A
VICTORVILLE, CA
ZIP 92395-306
Phone: (760) 998-1999
Fax: (760) 881-3555

The NPI 1780975839 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 05D2290597 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes (HCPCS:97110)
  • Application of ultrasound, each 15 minutes (HCPCS:97035)
  • Therapy procedure using manual technique, each 15 minutes (HCPCS:97140)
  • Application of electrical stimulation with therapist present, each 15 minutes (HCPCS:97032)
  • Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
  • Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow (HCPCS:G0181)
  • Online digital evaluation and management service for an established patient for up to 7 days, total time 11-20 minutes (HCPCS:99422)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Assessment of and care planning for impaired thought processing, typically 50 minutes (HCPCS:99483)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Face-to-face behavioral counseling for obesity, 15 minutes (HCPCS:G0447)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • Transitional care management services for problem of high complexity (HCPCS:99496)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
  • Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic (HCPCS:G2012)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Adm sarscov2 100mcg/0.5ml3rd (HCPCS:0013A)

The enumeration date for this NPI number is 4/25/2011 and was last updated on 2/29/2020.

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 MedicineA120144CALIFORNIAYes

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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