Active NPI
Shanaz Hatifi
- Adult Companion
- Grass Valley, CA
National Provider Identifier
1154866465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- Practice address
- 210 Sutton Way Apt 220
Grass Valley, CA 95945-4188 - Phone
- (510) 393-5796
- NPI assigned
- Dec 21, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | D2101371 | CA | |
| Mental Health Counselor | 101YM0800X | D2101371 | CA | |
| Case Manager/Care Coordinator | 171M00000X | |||
| Community Health Worker | 172V00000X | CA | ||
| Adult Companion | 372600000X | Primary |
Addresses
Primary practice location
210 Sutton Way Apt 220
Grass Valley, CA 95945-4188
Mailing address
210 Sutton Way Apt 220
Grass Valley, CA 95945-4188
Phone (510) 393-5796
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D2101371 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745280000000",
"number": "1154866465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 SUTTON WAY APT 220",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959454188",
"telephone_number": "510-393-5796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 SUTTON WAY APT 220",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959454188",
"telephone_number": "510-393-5796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATIFI",
"first_name": "SHANAZ",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-21",
"last_updated": "2025-04-22",
"certification_date": "2025-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "D2101371",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "D2101371",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grass Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.