NPIMap

Individual provider Active NPI

Shekiba Shahabzada, M.D.

  • Family Medicine Physician
  • Riverside, CA
National Provider Identifier
1366631210
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A109698 Issued in CA
Practice address
6485 Day St Ste 103
Riverside, CA 92507-0930
Phone
(951) 339-1005
NPI assigned
Oct 16, 2007
Last updated
Apr 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A109698 CA Primary

Addresses

Primary practice location

6485 Day St Ste 103
Riverside, CA 92507-0930

Mailing address

5891 Via Susana
Riverside, CA 92506-3666
Phone (951) 339-1005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, CA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160726001907 PA Practitioner - Family Practice 0749306181 Reassigns benefits to 2 organizations
I20251216004814 CA Practitioner - Family Practice 0749306181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

352 Northampton St
St Lukes Fam Med Easton
Easton, PA 18042-3514
Phone (484) 822-4250

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Radiance Health Group PC Family Medicine CurrentSince Dec 1, 2025 Accepting new patients
St. Luke's Physician Group, Inc. Family Medicine CurrentSince Nov 20, 2017 Accepting new patients
St. Luke's Physician Group, Inc. Family Medicine Current Accepting new patients
Star Community Health, Inc CurrentSince Aug 12, 2024 Accepting new patients
St Luke's Physician Group Inc Family Medicine CurrentSince Nov 20, 2017 Accepting new patients
Star Community Health, Inc CurrentSince Aug 12, 2024 Accepting new patients
Inland Empire Brain Experts Corp PastSince Jan 12, 2025 Accepting new patients
St. Luke's Physician Group, Inc. Past Accepting new patients
Dignity Health Medical Foundation Past Accepting new patients

Locations

6485 Day St
Ste 103
Riverside, CA 92507
Phone (925) 597-2369

511 E 3rd St
Ste 301
Bethlehem, PA 18015
Phone (484) 526-2460

3101 Emrick Blvd
Ste 112
Bethlehem, PA 18020
Phone (484) 822-5280

4311 Easton Ave
Bethlehem, PA 18020
Phone (610) 954-3600

352 Northampton St
Easton, PA 18042
Phone (484) 822-4250

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

305 W North St
Nazareth, PA 18064
Phone (610) 759-2208

Organizations & group practices 9

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

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1366631210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5891 VIA SUSANA",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063666",
            "telephone_number": "951-339-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6485 DAY ST STE 103",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925070930",
            "telephone_number": "951-339-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHABZADA",
        "first_name": "SHEKIBA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-16",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A109698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.