Active NPI
Shifa
- General Practice Physician
- Elk Grove, CA
National Provider Identifier
1467225540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- SHIFA
- Practice address
- 8725 Gladiola Way
Elk Grove, CA 95624-3843 - Phone
- (916) 612-8389
- NPI assigned
- Nov 1, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Enayatullah Niazi, MD
- Title
- Ceo
- Phone
- (916) 612-8389
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
8725 Gladiola Way
Elk Grove, CA 95624-3843
Mailing address
7275 E Southgate Dr Ste 102
Sacramento, CA 95823-2610
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1702598400000",
"number": "1467225540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7275 E SOUTHGATE DR STE 102",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958232610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8725 GLADIOLA WAY",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "956243843",
"telephone_number": "916-612-8389"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHIFA",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-01",
"last_updated": "2023-12-15",
"certification_date": "2023-11-16",
"status": "A",
"authorized_official_last_name": "NIAZI",
"authorized_official_first_name": "ENAYATULLAH",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "916-612-8389",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elk Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.