Organization Active NPI

Shatha Bakir, M.D., Inc.

  • Primary Care Clinic/Center
  • Apple Valley, CA
National Provider Identifier
1689844573
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A49522 Issued in CA
Legal business name
SHATHA BAKIR, M.D., INC.
Practice address
18523 Corwin Rd
Suite G
Apple Valley, CA 92307-2338
Phone
(760) 946-4950
NPI assigned
Mar 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Authorized official

Name
Dr. Shatha Bakir, M.D.
Title
President
Phone
(760) 946-4950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X A49522 CA Primary

Addresses

Primary practice location

18523 Corwin Rd
Suite G
Apple Valley, CA 92307-2338

Mailing address

18523 Corwin Rd
Suite G
Apple Valley, CA 92307-2338
Phone (760) 946-4950

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1689844573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18523 CORWIN RD",
            "address_2": "SUITE G",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072338",
            "telephone_number": "760-946-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18523 CORWIN RD",
            "address_2": "SUITE G",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072338",
            "telephone_number": "760-946-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHATHA BAKIR, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "BAKIR",
        "authorized_official_first_name": "SHATHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-946-4950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A49522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.