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

Shahram S. Mirhashemi, MD

Individual provider Family Medicine Physician · NPI 1912071556

Shahram S. Mirhashemi, MD is a Family Practice in San Fernando, California. Qualified in 1994, 32 years ago. Practices with Tri-State Community Healthcare Center, a 12-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Arizona, California and Nevada.

Years since qualifying
32
Licensed in
AZ, CA, NV
In the registry since
2006
Specialties on file
3
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

11273 Laurel Canyon Blvd Ste 2
San Fernando, CA 91340-4357
Phone: (818) 853-2220
Fax: (818) 853-2221
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 8700 S Highway 95, Mohave Valley, AZ 86440-8519 — (928) 768-7113
  • 1532 San Bernardino Ave Ste B7, Pomona, CA 91767-3559 — (909) 301-4041
  • 2311 S Casino Dr Ste A-3, Laughlin, NV 89029-1535 — (702) 508-0308

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A96427 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 73146 (AZ)
Family Medicine Physician Taxonomy 207Q00000X · Licence 26450 (NV)

Record details

NPI number1912071556
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 17, 2006
Last updated in NPPESJune 30, 2025
Certification dateJune 30, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Tri-State Community Healthcare Center — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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