Dr. F. Shadan Inc.

Primary specialty

Sleep Specialist (PhD)Taxonomy code 173F00000X

License

A66488 Issued in CA

Legal business name

DR. F. SHADAN INC.

Practice address

3652 Eureka Way
Redding, CA 96001-0172

Phone

(530) 243-6811

Fax

(530) 243-2977

NPI assigned

Dec 7, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Farhad Faraji Shadan, M.D., PHD

Title

Owner

Phone

(760) 390-7899

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1260144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260144000000",
    "number": "1194053900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 PROSPECT STREET",
            "address_2": "APT #5",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374657",
            "telephone_number": "760-390-7899",
            "fax_number": "858-459-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3652 EUREKA WAY",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010172",
            "telephone_number": "530-243-6811",
            "fax_number": "530-243-2977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. F. SHADAN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-07",
        "last_updated": "2009-12-07",
        "status": "A",
        "authorized_official_last_name": "SHADAN",
        "authorized_official_first_name": "FARHAD",
        "authorized_official_middle_name": "FARAJI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-390-7899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PHD"
    },
    "taxonomies": [
        {
            "code": "173F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Sleep Specialist, PhD",
            "state": "CA",
            "license": "A66488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sleep Specialist (PhD) in Redding, CA
• Providers in Redding, CA by specialty
• Sleep Specialist (PhD) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; 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.