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

Mercedeh Modir Shanechi

Individual provider Emergency Medicine Physician · NPI 1275914350

Mercedeh Modir Shanechi is an Emergency Medicine in Whittier, California. Qualified in 2015, 11 years ago. Practices with Intercommunity Emergency Medical Group, a 60-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Illinois.

Years since qualifying
11
Licensed in
CA, IL
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

12401 Washington Blvd
Whittier, CA 90602-1006
Phone: (562) 698-0811
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1901 W Harrison St, Chicago, IL 60612-3714 — (312) 864-6000

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence A160699 (CA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 125.066817 (IL)

Record details

NPI number1275914350
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 15, 2015
Last updated in NPPESOctober 15, 2024
Certification dateApril 1, 2020
Mailing address4210 Via Marina Apt 132, Marina Del Rey, CA 90292-5246

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Intercommunity Emergency Medical Group — 60 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Whittier