Organization Active NPI

Shifa

  • General Practice Physician
  • Elk Grove, CA
National Provider Identifier
1467225540
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
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

Updated by the provider on Dec 15, 2023

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

Authorized official

Name
Enayatullah Niazi, MDNPI 1609404748
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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Practitioners & 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.

Verify at the official NPI Registry.