Organization Active NPI

Subhi Ghani Sharif MD Inc

  • Primary Care Clinic/Center
  • Hemet, CA
National Provider Identifier
1689156200
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
C042984 Issued in CA
Legal business name
SUBHI GHANI SHARIF MD INC
Practice address
750 E Latham Ave Ste 2
Hemet, CA 92543-4370
Phone
(951) 658-7455
Fax
(951) 658-9795
NPI assigned
Aug 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Authorized official

Name
Dr. Subhi Ghani Sharif, MDNPI 1982694576
Title
MD
Phone
(951) 658-7455

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 C042984 CA Primary

Addresses

Primary practice location

750 E Latham Ave Ste 2
Hemet, CA 92543-4370

Mailing address

750 E Latham Ave Ste 2
Hemet, CA 92543-4370
Phone (951) 658-7455

Other identifiers 1

IdentifierTypeStateIssuer
1689156200MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181219002237 CA Part B Supplier - Clinic/Group Practice 0143565135 Receives reassigned benefits from 1 practitioner
Practice locations: Hemet, CA

National Provider Directory

National Provider Directory

Locations

750 E Latham Ave
Ste 2
Hemet, CA 92543
Phone (714) 658-7455

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1689156200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 E LATHAM AVE STE 2",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434370",
            "telephone_number": "951-658-7455",
            "fax_number": "951-658-9795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E LATHAM AVE STE 2",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434370",
            "telephone_number": "951-658-7455",
            "fax_number": "951-658-9795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBHI GHANI SHARIF MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-30",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "SHARIF",
        "authorized_official_first_name": "SUBHI",
        "authorized_official_middle_name": "GHANI",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "951-658-7455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "C042984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689156200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.