Organization Active NPI

Silver Peak Medical Staffing LLC

  • Clinic/Center
  • Lakeville, MN
National Provider Identifier
1306725536
Registry record updated Sep 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SILVER PEAK MEDICAL STAFFING LLC
Practice address
17780 Eclipse Ave
Lakeville, MN 55044-4450
Phone
(952) 492-9643
NPI assigned
Sep 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2025

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

Authorized official

Name
Abdimalik Sharif
Title
Owner
Phone
(952) 492-9643

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

17780 Eclipse Ave
Lakeville, MN 55044-4450

Mailing address

17780 Eclipse Ave
Lakeville, MN 55044-4450

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1756684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756684800000",
    "number": "1306725536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17780 ECLIPSE AVE",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550444450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17780 ECLIPSE AVE",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550444450",
            "telephone_number": "952-492-9643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER PEAK MEDICAL STAFFING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-01",
        "last_updated": "2025-09-01",
        "certification_date": "2025-09-01",
        "status": "A",
        "authorized_official_last_name": "SHARIF",
        "authorized_official_first_name": "ABDIMALIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-492-9643"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2025; 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.