Organization Active NPI

Shaik M. Saheb, MD, Inc.

  • Orthopaedic Surgery Physician
  • Northridge, CA
National Provider Identifier
1174671499
Registry record updated Oct 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
SHAIK M. SAHEB, MD, INC.
Doing business as
Orthopedic and Sports Medicine Center
Practice address
18546 Roscoe Blvd Ste 220a
Northridge, CA 91324-4663
Phone
(818) 993-4403
Fax
(661) 259-8793
NPI assigned
Jan 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2018

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

Authorized official

Name
Maher Khan, M.D.NPI 1750638946
Title
Owner
Phone
(661) 259-8010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

18546 Roscoe Blvd Ste 220a
Northridge, CA 91324-4663

Mailing address

9227 Reseda Blvd Ste 490
Northridge, CA 91324-3137
Phone (661) 259-8010

Other practice location 1

28049 Smyth Dr
Valencia, CA 91355-4023
Phone (661) 259-8010

Other identifiers 1

IdentifierTypeStateIssuer
W13286AOtherCAPTAN

Other names 1

  • Orthopedic and Sports Medicine Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050419001520 CA Part B Supplier - Clinic/Group Practice 0648218743 Receives reassigned benefits from 1 practitioner
Practice locations: Newhall, CA; Northridge, CA; Velencia, CA

National Provider Directory

National Provider Directory

Locations

18546 Roscoe Blvd
Ste 220A
Northridge, CA 91324
Phone (818) 886-0600

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538438400000",
    "number": "1174671499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9227 RESEDA BLVD STE 490",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913243137",
            "telephone_number": "661-259-8010",
            "fax_number": "661-259-8793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18546 ROSCOE BLVD STE 220A",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913244663",
            "telephone_number": "818-993-4403",
            "fax_number": "661-259-8793"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28049 Smyth Dr",
            "address_purpose": "LOCATION",
            "city": "Valencia",
            "state": "CA",
            "postal_code": "913554023",
            "country_code": "US",
            "telephone_number": "661-259-8010",
            "fax_number": "661-259-8793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHAIK M. SAHEB, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2018-10-02",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MAHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-259-8010",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "W13286A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthopedic and Sports Medicine Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Orthopedic and Sports Medicine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.