Fatima Shafi

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS110219 Issued in CA

Practice address

813 Fair Oaks Ave
South Pasadena, CA 91030-2605

Phone

(626) 593-0053

NPI assigned

Jul 9, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Fatima Shareef Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Martin Galstuan Dental Corporation

  • Dentist
  • South Pasadena, CA
  • NPI 1518319334
  NPD (past)
• Quinn Stephanie Dental Group, Professional Corporation

  • General Practice Dentistry
  • Henderson, NV
  • NPI 1376726885
  NPD (past)

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1396231759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3084 ST GEORGE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900272517",
            "telephone_number": "847-505-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 FAIR OAKS AVE",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910302605",
            "telephone_number": "626-593-0053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 N Stephanie St Ste 170",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890748998",
            "country_code": "US",
            "telephone_number": "702-997-5958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAFI",
        "first_name": "FATIMA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-09",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS110219",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "7094",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FATIMA",
            "last_name": "SHAREEF",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephen M Sentovich, M.D.
• Bernette Serrano
• Fernando Serrano
• Gary Seto, M.D.
• Ria Severance, LMFT
• Nicole Bonassi Shannon, LCSW
• Sahar Sheikhbahaei, M.D.
• Ana Shephard
• John Shieh, M.D.
• Tammy Hauyi Shih

• General Practice Dentistry in South Pasadena, CA
• Providers in South Pasadena, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.