Tigalat Shalita, D O Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A9000 Issued in CA

Legal business name

TIGALAT SHALITA, D O INC.

Practice address

23928 Lyons Ave Ste 201
Santa Clarita, CA 91321

Phone

(661) 259-0627

Fax

(661) 259-0628

NPI assigned

Dec 28, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Tigalat Shalita, D.O.NPI 1205852316

Title

President

Phone

(818) 676-0080

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Tigalat Shalita, D.O.

  • Family Medicine Physician
  • West Hills, CA
  • NPI 1205852316
  NPD Authorized official

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

{
    "created_epoch": "1293494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534204800000",
    "number": "1285938647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7230 MEDICAL CENTER DR STE 202",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913074006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23928 LYONS AVE STE 201",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "91321",
            "telephone_number": "661-259-0627",
            "fax_number": "661-259-0628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIGALAT SHALITA, D O INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-28",
        "last_updated": "2018-08-14",
        "status": "A",
        "authorized_official_last_name": "SHALITA",
        "authorized_official_first_name": "TIGALAT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-676-0080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A9000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX90001",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Santa Clarita, CA
• Providers in Santa Clarita, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; 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.