Individual provider Active NPI

Halim Sahib Shariff, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Valley Village, CA
National Provider Identifier
1275267114
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95028724 Issued in CA
Practice address
12503 W Sapphire PL
Valley Village, CA 91607-3000
Phone
(248) 842-1494
NPI assigned
Jul 15, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95028724 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

12503 W Sapphire PL
Valley Village, CA 91607-3000

Mailing address

12503 W Sapphire PL
Valley Village, CA 91607-3000
Phone (248) 842-1494

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20240501003404 CA Practitioner - Nurse Practitioner 5496195828 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
95028724CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Richard I Torban a Professional Corporation CurrentSince Mar 18, 2024 Accepting new patients
Neuro Wellness Spa, a Medical PC Past Accepting new patients

Locations

73255 El Paseo
Ste 11
Palm Desert, CA 92260
Phone (760) 341-8878

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1657843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1275267114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12503 W SAPPHIRE PL",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073000",
            "telephone_number": "248-842-1494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12503 W SAPPHIRE PL",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073000",
            "telephone_number": "248-842-1494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARIFF",
        "first_name": "HALIM",
        "middle_name": "SAHIB",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-15",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95028724",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Village, CA

Sources for this page

Verify at the official NPI Registry.