Individual provider Active NPI

Saira Shaikh

  • Nurse Practitioner
  • Redondo Beach, CA
National Provider Identifier
1174170476
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NPF95011935 Issued in CA
Practice address
1611 S Catalina Ave Ste L701611
Redondo Beach, CA 90277-5255
Phone
(310) 803-7491
NPI assigned
Aug 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NPF95011935 CA Primary

Addresses

Primary practice location

1611 S Catalina Ave Ste L701611
Redondo Beach, CA 90277-5255

Mailing address

1611 S Catalina Ave Ste L701611
Redondo Beach, CA 90277-5255
Phone (310) 803-7491

Other practice location 1

9043 Woodman Ave
Arleta, CA 91331-6492
Phone (818) 221-3096

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

LicenseStateTypeSpecialty
NPF95011935CAMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1174170476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 S CATALINA AVE STE L701611",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775255",
            "telephone_number": "310-803-7491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 S CATALINA AVE STE L701611",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775255",
            "telephone_number": "310-803-7491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9043 Woodman Ave",
            "address_purpose": "LOCATION",
            "city": "Arleta",
            "state": "CA",
            "postal_code": "913316492",
            "country_code": "US",
            "telephone_number": "818-221-3096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAIKH",
        "first_name": "SAIRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NPF95011935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.