Individual provider Active NPI

Shahzad Anwar, M.D.

  • Family Medicine Physician
  • Roseville, CA
National Provider Identifier
1528389145
Registry record updated Dec 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A115075 Issued in CA
Practice address
1478 Stone Point Dr
Suite 290
Roseville, CA 95661-2869
Phone
(916) 111-1111
Fax
(916) 710-8335
NPI assigned
Jun 17, 2010
Last updated
Dec 17, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A115075 CA Primary

Addresses

Primary practice location

1478 Stone Point Dr
Suite 290
Roseville, CA 95661-2869

Mailing address

1478 Stone Point Dr
Suite 290
Roseville, CA 95661-2869

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A115075CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shahzad Anwar MD Inc Family Medicine Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387238400000",
    "number": "1528389145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1478 STONE POINT DR",
            "address_2": "SUITE 290",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1478 STONE POINT DR",
            "address_2": "SUITE 290",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612869",
            "telephone_number": "916-111-1111",
            "fax_number": "916-710-8335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANWAR",
        "first_name": "SHAHZAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-17",
        "last_updated": "2013-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A115075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; 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.