Abdullah N Alshaban I
Individual provider Active NPI Driver · Sacramento, CA
NPI 1649066440 · NPPES record last updated Apr 17, 2025
Key facts
- NPI
- 1649066440
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- License
- Y2304542 (CA)
- Practice address
- 1650 Silica Ave
Sacramento, CA 95815-3429 - Phone
- (916) 621-7887
- NPI assigned
- Apr 17, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Y2304542 | CA | MD | Driver |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | Y2304542 | CA | Yes |
Addresses
Primary practice location
1650 Silica Ave
Sacramento, CA 95815-3429
Mailing address
2580 Roslyn Way
Sacramento, CA 95821-6533
Phone (916) 621-7887
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.