Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093323974 Individual Practitioner Male Practitioner

Dr. Shish Ali Mohammad , MD

Pediatrics • Lancaster, CA

Professional Overview & Biography Verified Profile Summary

Dr. Shish Mohammad, MD is a registered healthcare professional specializing in Pediatrics in Lancaster, CA. Practice services are available at 45124 10TH ST W under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

45124 10th St W

Lancaster, CA 935342310

Telephone 5628677999
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Lancaster, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 45.0 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
30 Specialists

Practicing in Lancaster, CA (9612 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-12-26
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License CA A190665

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Secondary Practice Locations

45104 10th St W

Lancaster, CA 935342310

Phone: 5628677999

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003134560

Doctor of Medicine (M.D.)

Lisa Batchelor , FNP, C, MSN

Nurse Practitioner - Family

NPI 1013072859

Family Nurse Practitioner, C, Master of Science in Nursing

NPI 1033556022

Doctor of Medicine (M.D.)

NPI 1043907587

Doctor of Dental Medicine

Sam Ngo

Dentist - General Practice

NPI 1073002184
Gijo Alex , LCSW

Social Worker - Clinical

NPI 1073148573

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location December 26, 2023

Registered at 45124 10TH ST W, LANCASTER, CA 935342310 (Tel: 5628677999)

📍
Updated Business Mailing Address December 26, 2023

Registered at 5650 JILLSON ST, COMMERCE, CA 900401482 (Tel: 5628677999)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 26, 2023

Pediatrics (License #A190665 in CA)

NPI Profile Active July 31, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location July 31, 2020

Registered at 234 E 149TH ST # 4-20, BRONX, NY 104515504 (Tel: 7185795030)

📍
Updated Business Mailing Address July 31, 2020

Registered at 375 W SQUIRE DR APT 7, ROCHESTER, NY 146231773 (Tel: 5854048695)

👤
Provider Name / Credentials Updated July 31, 2020

Recorded as SHISH MOHAMMAD, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration July 16, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093323974
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 16, 2020
Last Update: December 26, 2023
Sole Proprietor: Yes

Mailing Address

5650 Jillson St

Commerce, CA 900401482

Phone: 5628677999

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.