Shahida K Syed Enterprises LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

SHAHIDA K SYED ENTERPRISES LLC

Practice address

19660 Arcadia St
Corona, CA 92881-4302

Phone

(909) 367-6818

NPI assigned

Dec 14, 2020

Organization subpart

No

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

Authorized official

Name

Abby Boyd

Title

Billing Director

Phone

(772) 353-1410

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Shahida's Place Doing business as

Tax ID family

Shahida K Syed Enterprises LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Shahida K Syed Enterprises LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Corona, CA
  • NPI 1518645795
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Shahida K Syed Enterprises LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Corona, CA
  • NPI 1518645795
  NPPES parent name

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

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1467048579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19660 ARCADIA ST",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928814302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19660 ARCADIA ST",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928814302",
            "telephone_number": "909-367-6818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7460 Summit St",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925045444",
            "country_code": "US",
            "telephone_number": "909-367-6818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHAHIDA K SYED ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-14",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "ABBY",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "772-353-1410"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "330179BP",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "330179CP",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shahida's Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rujuta P Shah
• Rupal B Shah, MD
• Shailesh Rasiklal Shah
• Syed Muhammad Behram Shah
• Omar Shahbaz, M.D., M.S.
• Shahida K Syed Enterprises LLC
• Mohammad Khaled Shahin, MD
• Umer Shahzad
• Owais Shaikh, DDS
• Samah Itani Shakhshir, RD

• Substance Abuse Rehabilitation Facility in Corona, CA
• Providers in Corona, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.