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

Dr. Shahram Javaheri, MD

Individual provider Gastroenterology Physician · NPI 1497861439

Dr. Shahram Javaheri, MD is a Gastroenterology in Mission Viejo, California. Qualified in 1996, 30 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, works from 2 locations and offers telehealth. Licensed in California and Montana.

Years since qualifying
30
Licensed in
CA, MT
In the registry since
2006
Specialties on file
2
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

26691 Plz Ste 150
Mission Viejo, CA 92691-6329
Phone: (949) 389-0660
Fax: (949) 389-0668
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 320 Sunnyview Ln, Kalispell, MT 59901-3129 — (406) 752-7441

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence A064239 (CA)
Gastroenterology Physician Taxonomy 207RG0100X · Licence MED-PHYS-LIC-114422 (MT)

Record details

NPI number1497861439
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 22, 2006
Last updated in NPPESAugust 4, 2022
Certification dateAugust 4, 2022

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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