Al Shifa Clinic Incorporated

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

AL SHIFA CLINIC INCORPORATED

Practice address

2334 North Sierra Way
San Bernardino, CA 92405

Phone

(909) 473-0600

Fax

(909) 473-9922

NPI assigned

Nov 6, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Talat Khan, M.D

Title

Chair Person

Phone

(909) 969-4380

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1289001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580688000000",
    "number": "1508167602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2696",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "92406",
            "telephone_number": "909-473-0600",
            "fax_number": "909-473-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2334 NORTH SIERRA WAY",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "92405",
            "telephone_number": "909-473-0600",
            "fax_number": "909-473-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AL SHIFA CLINIC INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-06",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "TALAT",
        "authorized_official_title_or_position": "CHAIR PERSON",
        "authorized_official_telephone_number": "909-969-4380",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Voluntary or Charitable Agency in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Voluntary or Charitable Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; 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.