MEDICARE: DR. MAHSA NASHID MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	285258	NY
2	208M00000X	Hospitalist Physician	A146094	CA
3	207Q00000X	Family Medicine Physician	A146094	CA

General Provider Information

NPI Number	:	1558701102
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MAHSA NASHID MD

Provider Business Mailing Address
First Line	:	1276 FULTON AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10456-3402
Country	:	US
Telephone Number	:	718-901-8297
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 THE CITY DR S
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92868-3201
Country	:	US
Telephone Number	:	714-456-8888
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2013
Last Update Date	:	06/08/2026

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