Shaker Medical Corporation

Primary specialty

Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X

Legal business name

SHAKER MEDICAL CORPORATION

Practice address

1752 E Lugonia Ave Ste 117-1027
Redlands, CA 92374-2730

Phone

(951) 977-1082

NPI assigned

Sep 26, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth S Gendy-Shaker, MDNPI 1992912950

Title

President

Phone

(951) 977-1082

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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

• Elizabeth S Gendy-Shaker, M.D.

  • Pediatric Pulmonology Physician
  • Redlands, CA
  • NPI 1992912950

  Pediatrics

  NPD Authorized official
• Nader A Abas, MD

  • Emergency Medicine Physician
  • Barstow, CA
  • NPI 1346288305
  NPD (past)

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1275351561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1752 E LUGONIA AVE STE 117-1027",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923742730",
            "telephone_number": "951-977-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1752 E LUGONIA AVE STE 117-1027",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923742730",
            "telephone_number": "951-977-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAKER MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "GENDY-SHAKER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-977-1082",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0214X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nien Shaaw
• Neema Shah
• Praful C Shah, M.D.
• Umang Natvarlal Shah, DOCTOR OF PHARMACY
• Mohmad S Shaikh
• Rimon Shaker, MD
• Rashmi Shampur, DPT
• Delia R Shanahan, NP
• Gillian S Shaw, MD
• Toby S Shaw, LMFT

• Pediatric Pulmonology Physician in Redlands, CA
• Providers in Redlands, CA by specialty
• Pediatric Pulmonology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.