Nicole Lesa Shweiri, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A65518 Issued in CA

Practice address

5977 E Spring St
Long Beach, CA 90808-3752

Phone

(562) 421-3727

Fax

(562) 420-8948

NPI assigned

Jan 25, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: nshweirimd19039@direct.memorialcare.org

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1508912494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1649 TERMINO AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042120",
            "telephone_number": "562-434-7777",
            "fax_number": "562-433-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5977 E SPRING ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908083752",
            "telephone_number": "562-421-3727",
            "fax_number": "562-420-8948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHWEIRI",
        "first_name": "NICOLE",
        "middle_name": "LESA",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A65518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A65518",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie Melody Shubin, PA-C
• Lisa Jane Shultz
• Staci Shultz
• Robert Luther Shuman, M.D.
• Valerie Shumate, CPNP
• Parwiz John Siaghani, D.O
• Siamak Rouzroch MD Inc
• Naomi Sianturi
• Nansi Ann Cunanan Sibal, NURSE PRACTITIONER
• Renee Nayal Sibayan, LVN

• Family Medicine Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.