Enas Shammo, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95018796 Issued in CA

Practice address

6280 Jackson Dr Ste 9
San Diego, CA 92119-3436

Phone

(619) 303-3642

NPI assigned

Apr 9, 2019

Last updated

Jul 31, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clinton Urgent Care Walk-in Clinic

  • Family Medicine Physician
  • Clinton Township, MI
  • NPI 1831610070
  Medicare reassignment NPD
• Rochester Urgent Care Walk-in Clinic

  • Urgent Care Clinic/Center
  • Rochester Hills, MI
  • NPI 1225554694
  Medicare reassignment NPD
• Troy Urgent Care Walk-in Clinic

  • Urgent Care Clinic/Center
  • Troy, MI
  • NPI 1720571227
  Medicare reassignment NPD
• Best Urgent Care PC

  • Urgent Care Clinic/Center
  • Redford, MI
  • NPI 1952791105
  Medicare reassignment
• Mismo Dermatology Group Apc

  • Dermatology Physician
  • San Diego, CA
  • NPI 1306405998
  NPD
• Berkley Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Berkley, MI
  • NPI 1083022735
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1174086870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6280 JACKSON DR STE 9",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921193436",
            "telephone_number": "619-303-3642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6280 JACKSON DR STE 9",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921193436",
            "telephone_number": "619-303-3642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6280 Jackson Dr Ste 9",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921193436",
            "country_code": "US",
            "telephone_number": "619-303-3642",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1625 E Main St Ste 100",
            "address_purpose": "LOCATION",
            "city": "El Cajon",
            "state": "CA",
            "postal_code": "920215240",
            "country_code": "US",
            "telephone_number": "619-404-5333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAMMO",
        "first_name": "ENAS",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-09",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95018796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Shamilova, LMT
• Marianne Rosella Shamlou, MA, CCC, SLP
• Natasha Shamloufard, DPT
• Pouneh Shamloufard
• Sabrina Shammas
• Zachary Shampain, PT, DPT
• Shadi Shams
• Pariya Shamsaee, O.D.
• Shadi Shamsi, PA-C
• Arash Shamsinejad Babaki, MD

• Family Nurse Practitioner in San Diego, CA
• Providers in San Diego, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.