Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bashar Mousa Shahatit, MD

Individual provider Family Medicine Physician · NPI 1831416742

Bashar Mousa Shahatit, MD is a Family Practice in Apple Valley, California. Qualified in 2006, 20 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
20
Licensed in
CA
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

19341 Bear Valley Rd Ste 104
Apple Valley, CA 92308-5152
Phone: (760) 956-4148
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2450 Sister Mary Columba Dr, Red Bluff, CA 96080-4356 — (530) 527-0414

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A122792 (CA)

Record details

NPI number1831416742
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 2, 2010
Last updated in NPPESNovember 10, 2021
Certification dateNovember 10, 2021
Mailing address19341 Bear Valley Rd Ste 104, Apple Valley, CA 92308-5152

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Apple Valley