Sima Shakiba, M.D. Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

A51469 Issued in CA

Legal business name

SIMA SHAKIBA, M.D. INC.

Practice address

535 Encinitas Blvd
Suite 112
Encinitas, CA 92024-3742

Phone

(858) 232-9862

NPI assigned

Sep 21, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Sima Shakiba, M.D.

Title

Director

Phone

(858) 232-9862

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456444800000",
    "number": "1609100924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1223",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920141223",
            "telephone_number": "858-232-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 ENCINITAS BLVD",
            "address_2": "SUITE 112",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920243742",
            "telephone_number": "858-232-9862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMA SHAKIBA, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-21",
        "last_updated": "2016-02-26",
        "status": "A",
        "authorized_official_last_name": "SHAKIBA",
        "authorized_official_first_name": "SIMA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "858-232-9862",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A51469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; 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.