NPIMap

Individual provider Active NPI

Shiraz Buhari, MD

  • Family Medicine Physician
  • Stockton, CA
National Provider Identifier
1700855418
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A82278 Issued in CA
Practice address
1805 N California St
Suite 401
Stockton, CA 95204-6037
Phone
(209) 477-4421
Fax
(209) 477-7721
NPI assigned
Mar 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A82278 CA Primary

Addresses

Primary practice location

1805 N California St
Suite 401
Stockton, CA 95204-6037

Mailing address

1805 N California St
Suite 401
Stockton, CA 95204-6037
Phone (209) 477-4421

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040210000659 CA Practitioner - Family Practice 0648164715 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Buhari and Deguzman Inc a Med CorpGroup PAC ID 8820985161, 2 clinicians

Practice addresses (Care Compare)

1805 N California St
Suite 401
Stockton, CA 95204-6033
Phone (209) 477-4421

Hospital & facility affiliations

  • Emerald Health and Wellness Home health agency, Stockton, CA, CCN 559523
  • St Joseph'S Medical Center Home Health Home health agency, Stockton, CA, CCN 057212
  • Sky Healthcare Home Health Services Home health agency, Pleasanton, CA, CCN 559446
  • Infinity Care Services, Inc Home health agency, Stockton, CA, CCN 059217
  • St Joseph'S Medical Center of Stockton Hospital, Stockton, CA, CCN 050084
  • Adventist Health Lodi Memorial Hospital, Lodi, CA, CCN 050336
  • Mark Twain Medical Center Hospital, San Andreas, CA, CCN 051332
  • Fairmont Rehabilitation Hospital Nursing home, Lodi, CA, CCN 055242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Specialists of California, PC Family Medicine CurrentSince Sep 1, 2022 Accepting new patients
Buhari & Deguzman, Inc. a Med Corp CurrentSince Sep 1, 2003 Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients
Deergrass Healthcare, Inc. PastSince Feb 1, 2023 Accepting new patients

Locations

800 E Washington Blvd
Crescent City, CA 95531
Phone (707) 464-8511

1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616

1805 N California St
Ste 401
Stockton, CA 95204
Phone (209) 477-4421

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Fairmont Rehabilitation HospitalLodi, CA, CCN 055242 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF		 Feb 1, 2023
Feb 1, 2023
Feb 1, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213660800000",
    "number": "1700855418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 N CALIFORNIA ST",
            "address_2": "SUITE 401",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952046037",
            "telephone_number": "209-477-4421",
            "fax_number": "209-477-7721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 N CALIFORNIA ST",
            "address_2": "SUITE 401",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952046037",
            "telephone_number": "209-477-4421",
            "fax_number": "209-477-7721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUHARI",
        "first_name": "SHIRAZ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2008-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A82278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.