Individual provider Active NPI

Shahbanoo Shery Shakerifar

  • Licensed Vocational Nurse
  • San Diego, CA
National Provider Identifier
1427201912
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
VN 170719 Issued in CA
Practice address
7156 Arroyo Grande Rd
San Diego, CA 92129-2257
Phone
(858) 484-4519
NPI assigned
Oct 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X VN 170719 CA Primary

Addresses

Primary practice location

7156 Arroyo Grande Rd
San Diego, CA 92129-2257

Mailing address

7156 Arroyo Grande Rd
San Diego, CA 92129-2257
Phone (858) 484-4519

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
VN 170719CAMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225152000000",
    "number": "1427201912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7156 ARROYO GRANDE RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292257",
            "telephone_number": "858-484-4519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7156 ARROYO GRANDE RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292257",
            "telephone_number": "858-484-4519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAKERIFAR",
        "first_name": "SHAHBANOO",
        "middle_name": "SHERY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN 170719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.