Active NPI
Shahida Dadabhoy a Professional Corporation
- Pediatric Adolescent Medicine Physician
- Pomona, CA
National Provider Identifier
1639585482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- A51315
- Legal business name
- SHAHIDA DADABHOY A PROFESSIONAL CORPORATION
- Practice address
- 145 W Willow St
Pomona, CA 91768-1829 - Phone
- (909) 865-5555
- NPI assigned
- Jul 1, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shahida Dadabhoy, MD
- Title
- President
- Phone
- (909) 865-5555
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | A51315 | CA | Primary |
Addresses
Primary practice location
145 W Willow St
Pomona, CA 91768-1829
Mailing address
145 W Willow St
Pomona, CA 91768-1829
Phone (909) 865-5555
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0985282 | Shahida Dadabhoy a Professional Corporation | Certificate of waiver | Apr 11, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Adolescent Medicine Physician
- Pomona, CA
- NPI 1669472163
-
- Pediatrics Physician
- Covina, CA
- NPI 1568999100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404172800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1404172800000",
"number": "1639585482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 W WILLOW ST",
"city": "POMONA",
"state": "CA",
"postal_code": "917681829",
"telephone_number": "909-865-5555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 W WILLOW ST",
"city": "POMONA",
"state": "CA",
"postal_code": "917681829",
"telephone_number": "909-865-5555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHAHIDA DADABHOY A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-01",
"last_updated": "2014-07-01",
"status": "A",
"authorized_official_last_name": "DADABHOY",
"authorized_official_first_name": "SHAHIDA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "909-865-5555",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pediatrics, Adolescent Medicine",
"state": "CA",
"license": "A51315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.