Organization Active NPI

Shazana Inc.

Doing business as Shazana Medical Products

  • Durable Medical Equipment & Medical Supplies
  • RCH Cucamonga, CA
National Provider Identifier
1306697222
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SHAZANA INC.
Doing business as
Shazana Medical Products
Practice address
9567 Arrow Rte Ste a
RCH Cucamonga, CA 91730-4550
Phone
(909) 460-8010
NPI assigned
Mar 28, 2024
Last updated
Mar 28, 2024By the provider in NPPES
Organization subpart
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

Authorized official

Name
Shahzada Yaqoot
Title
President
Phone
(909) 460-8010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

9567 Arrow Rte Ste a
RCH Cucamonga, CA 91730-4550

Mailing address

9567 Arrow Rte Ste a
RCH Cucamonga, CA 91730-4550
Phone (909) 460-8010

Other names 1

  • Shazana Medical Products Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250130000269 CA DME Supplier - Medical Supply Company 4587193958 Practice locations: Rancho Cucamonga, CA

National Provider Directory

National Provider Directory

Locations

9567 Arrow Rte
Ste A
Rch Cucamonga, CA 91730
Phone (909) 460-8010

NPI Registry JSON

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1306697222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9567 ARROW RTE STE A",
            "city": "RCH CUCAMONGA",
            "state": "CA",
            "postal_code": "917304550",
            "telephone_number": "909-460-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9567 ARROW RTE STE A",
            "city": "RCH CUCAMONGA",
            "state": "CA",
            "postal_code": "917304550",
            "telephone_number": "909-460-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAZANA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "YAQOOT",
        "authorized_official_first_name": "SHAHZADA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-460-8010"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shazana Medical Products",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in RCH Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.