Shahida K Syed Enterprises LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

SHAHIDA K SYED ENTERPRISES LLC

Practice address

4300 Green River Rd Ste 108
Corona, CA 92878-2306

Phone

(951) 393-0191

Fax

(951) 987-0042

NPI assigned

Jul 7, 2023

Organization subpart

Yes

Parent organization

SHAHIDA K SYED ENTERPRISES LLCAs reported in NPPES

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

Authorized official

Name

Jamil Syed

Title

Ceo

Phone

(951) 393-0191

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• SHAHIDA K SYED ENTERPRISES LLC Doing business as

Tax ID family

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

Part of

Shahida K Syed Enterprises LLC

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 Abuse Rehabilitation Facility
  • Corona, CA
  • NPI 1467048579
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Shahida K Syed Enterprises LLC

  • Substance Abuse Rehabilitation Facility
  • Corona, CA
  • NPI 1467048579
  NPPES parent name

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1518645795",
    "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": "4300 GREEN RIVER RD STE 108",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928782306",
            "telephone_number": "951-393-0191",
            "fax_number": "951-987-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAHIDA K SYED ENTERPRISES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHAHIDA K SYED ENTERPRISES LLC",
        "enumeration_date": "2023-07-07",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "SYED",
        "authorized_official_first_name": "JAMIL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-393-0191"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH CARE SERVICES",
            "identifier": "330179EP",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHAHIDA K SYED ENTERPRISES LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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
• Dunia Shalabi

• Substance Use Disorder Rehabilitation Clinic/Center in Corona, CA
• Providers in Corona, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.