Organization Active NPI

Shifa Health Center

  • Primary Care Clinic/Center
  • Elk Grove, CA
National Provider Identifier
1609571710
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
SHIFA HEALTH CENTER
Practice address
9108 Laguna Main St Ste 5
Elk Grove, CA 95758-7450
Phone
(916) 934-4485
Fax
(916) 897-9380
NPI assigned
Mar 31, 2023
Last updated
Mar 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Authorized official

Name
Shagufta YasmeenNPI 1922082429
Title
Medical Director
Phone
(916) 799-8580

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

9108 Laguna Main St Ste 5
Elk Grove, CA 95758-7450

Mailing address

PO Box 580817
Elk Grove, CA 95758-0014
Phone (916) 934-4485

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260401002492 CA Part B Supplier - Clinic/Group Practice 0840775375 Receives reassigned benefits from 4 practitioners
Practice locations: Elk Grove, CA

National Provider Directory

National Provider Directory

Locations

9108 Laguna Main St
Ste 5
Elk Grove, CA 95758
Phone (916) 934-4485

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772668800000",
    "number": "1609571710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 580817",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957580014",
            "telephone_number": "916-934-4485",
            "fax_number": "916-897-9380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9108 LAGUNA MAIN ST STE 5",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587450",
            "telephone_number": "916-934-4485",
            "fax_number": "916-897-9380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIFA HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-31",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A",
        "authorized_official_last_name": "YASMEEN",
        "authorized_official_first_name": "SHAGUFTA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "916-799-8580"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.