Active NPI
Shahida Naz, M.D.
- General Practice Physician
- Calipatria, CA
National Provider Identifier
1669747747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A56116
- Practice address
- 7018 Blair Rd
Calipatria, CA 92233-9633 - Phone
- (858) 336-1826
- NPI assigned
- Mar 21, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Medicine Physician | 207U00000X | A56116 | CA | |
| General Practice Physician | 208D00000X | A56116 | CA | Primary |
Addresses
Primary practice location
7018 Blair Rd
Calipatria, CA 92233-9633
Mailing address
PO Box 11325
San Bernardino, CA 92423-1325
Phone (858) 336-1826
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A56116 | CA | MD | Nuclear Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332288000000",
"number": "1669747747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11325",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924231325",
"telephone_number": "858-336-1826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7018 BLAIR RD",
"city": "CALIPATRIA",
"state": "CA",
"postal_code": "922339633",
"telephone_number": "858-336-1826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAZ",
"first_name": "SHAHIDA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-21",
"last_updated": "2012-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "CA",
"license": "A56116",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "A56116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Calipatria, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.