OrganizationActive
Shield Medical Management Services LLC
NPI 1386907749 · Clinic/Center · Garden Grove, CA
Shield Medical Management Services LLC is a Clinic/Center organization in Garden Grove, CA (NPI 1386907749).
Provider details
- NPI number
- 1386907749
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mortezas Sourat, Administrator(714) 554-2222
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
13896 Harbor Blvd
Suite 5c
Garden Grove, CA 92843-4045
Phone: (714) 554-2222
Street-level locationGet directions
Mailing address
13896 Harbor Blvd
Garden Grove, CA 92843-4045
Registry dates
- Enumerated
- 2012-06-20
- Last updated
- 2012-06-20
Frequently asked questions
- What is Shield Medical Management Services LLC's NPI number?
- Shield Medical Management Services LLC's National Provider Identifier (NPI) is 1386907749, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shield Medical Management Services LLC?
- Shield Medical Management Services LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Shield Medical Management Services LLC located?
- Shield Medical Management Services LLC's practice location on file with NPPES is 13896 Harbor Blvd, Garden Grove, CA 92843-4045.
- What is Shield Medical Management Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Shield Medical Management Services LLC is (714) 554-2222.
- Who is the authorized official for Shield Medical Management Services LLC?
- The authorized official listed on Shield Medical Management Services LLC's NPPES record is Mortezas Sourat, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shield Medical Management Services LLC's NPI active?
- Yes — Shield Medical Management Services LLC's NPI (1386907749) is active in the NPPES registry as of the last update on 2012-06-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.