Shatha Bakir, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A49522 Issued in CA

Practice address

19333 Bear Valley Rd
Apple Valley, CA 92308-5148

Phone

(760) 240-3784

Fax

(760) 247-4368

NPI assigned

May 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Corwin Medical Group Inc Ipa

  • Exclusive Provider Organization
  • Apple Valley, CA
  • NPI 1821018433

  Family Medicine

  NPD (past)
• St. Mary Medical Center

  • General Acute Care Hospital
  • Apple Valley, CA
  • NPI 1669456299
  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422489600000",
    "number": "1356309504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12550 HESPERIA RD",
            "address_2": "SUITE 100",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923955873",
            "telephone_number": "760-241-6666",
            "fax_number": "760-241-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19333 BEAR VALLEY RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923085148",
            "telephone_number": "760-240-3784",
            "fax_number": "760-247-4368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKIR",
        "first_name": "SHATHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2015-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A49522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Lee Badarou
• Julie M. Baga, DPT
• Ashley Baggerly
• Lovejit Bahia
• Brittany Baker, PT, DPT
• Ronaldo Daniel Scott Balleza, LPN
• Bambhania Medical Corporation
• Ramesh D Bambhania, M.D.
• Rachel Grace Banales, PHARM D.
• Brian Hyung Bang, L.AC

• Family Medicine Physician in Apple Valley, CA
• Providers in Apple Valley, 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 Jan 29, 2015; 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.