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NPI 1811316458 · live from the CMS NPI Registry

Shima Ghavimi, M.D.

Internal Medicine, Gastroenterology in Corona, CA. National Provider Identifier 1811316458, active.

NPI record

NPI1811316458 Type 1 · individual
StatusActive
Primary specialtyInternal Medicine, Gastroenterology 207RG0100X
Practice location2097 Compton Ave Ste 103, Corona, CA 92881
Practice phone951-934-0505
Mailing address1015 S Hackett Rd, Waterloo, IA 50701
EnumeratedApril 10, 2014
Last updatedAugust 28, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Internal Medicine, Gastroenterology207RG0100XMD-50743 (IA)
Internal Medicine207R00000X29355 (WV)
Internal Medicine, Hepatology207RI0008XC208749 (CA)
Internal Medicine207R00000XC208749 (CA)
Internal Medicine, Gastroenterology207RG0100X29355 (WV)
Internal Medicine207R00000X25MA10563700 (NJ)
Internal Medicine, Hepatology207RI0008X29355 (WV)
Internal Medicine, Gastroenterology primary207RG0100XC208749 (CA)
Internal Medicine, Gastroenterology207RG0100X25MA10563700 (NJ)
Internal Medicine, Hepatology207RI0008XMD-50743 (IA)
Student in an Organized Health Care Education/Training Program390200000X25MA10563700 (NJ)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.