NPIMap

Organization Active NPI

Lina Shuhaibar MD, Inc. a Professional Corporation

  • Medical Specialty Clinic/Center
  • Covina, CA
National Provider Identifier
1316145550
Registry record updated Sep 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
A53782 Issued in CA
Legal business name
LINA SHUHAIBAR MD, INC. A PROFESSIONAL CORPORATION
Practice address
1041 W Badillo St
103
Covina, CA 91722-4194
Phone
(626) 339-0288
NPI assigned
Jul 10, 2007
Last updated
Sep 7, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2007

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

Authorized official

Name
Dr. Lina Shuhaibar, MDNPI 1063547057
Title
President
Phone
(626) 905-6178

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X A53782 CA
Adolescent and Children Mental Health Clinic/Center 261QM0855X A53782 CA
Medical Specialty Clinic/Center 261QM2500X A53782 CA Primary

Addresses

Primary practice location

1041 W Badillo St
103
Covina, CA 91722-4194

Mailing address

2694 E Garvey Ave S
22
West Covina, CA 91791-2113
Phone (626) 905-6178

National Provider Directory

National Provider Directory

Locations

1041 W Badillo St
Ste 103
Covina, CA 91722
Phone (626) 339-0288

2694 E Garvey Ave S
#22
West Covina, CA 91791
Phone (626) 905-6178

2694 E Garvey Ave S
Ste 22
West Covina, CA 91791

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189123200000",
    "number": "1316145550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2694 E GARVEY AVE S",
            "address_2": "22",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917912113",
            "telephone_number": "626-905-6178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 W BADILLO ST",
            "address_2": "103",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917224194",
            "telephone_number": "626-339-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINA SHUHAIBAR MD, INC. A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-09-07",
        "status": "A",
        "authorized_official_last_name": "SHUHAIBAR",
        "authorized_official_first_name": "LINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-905-6178",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CA",
            "license": "A53782",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "CA",
            "license": "A53782",
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A53782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; 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.