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

Marat Nadirovich Shamsutdinov, MD

Individual provider Child & Adolescent Psychiatry Physician · NPI 1578976981

Marat Nadirovich Shamsutdinov, MD is a Psychiatry in Reseda, California. Qualified in 2010, 16 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California, New York and Pennsylvania.

Years since qualifying
16
Licensed in
CA, NY, PA
In the registry since
2014
Specialties on file
4
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

18040 Sherman Way
Reseda, CA 91335-4631
Phone: (818) 758-1236
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence A136394 (CA)
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X · Licence 278379-1 (NY)
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X · Licence MD453570 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1578976981
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 4, 2014
Last updated in NPPESNovember 22, 2021

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Reseda