Mabrook L. Shehata MD Medical Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

MABROOK L. SHEHATA MD MEDICAL CORPORATION

Practice address

350 S Oak Ave
Oakdale, CA 95361-3519

Phone

(702) 453-3799

NPI assigned

May 18, 2015

Organization subpart

No

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

Authorized official

Name

Mabrook L Shehata, MD

Title

President

Phone

(562) 577-1098

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604620800000",
    "number": "1730567108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 CRIMSON CANYON DR STE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280846",
            "telephone_number": "661-327-8000",
            "fax_number": "661-327-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S OAK AVE",
            "city": "OAKDALE",
            "state": "CA",
            "postal_code": "953613519",
            "telephone_number": "702-453-3799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Canal St",
            "address_purpose": "LOCATION",
            "city": "King City",
            "state": "CA",
            "postal_code": "939303431",
            "country_code": "US",
            "telephone_number": "702-453-3799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MABROOK L. SHEHATA MD MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-18",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A",
        "authorized_official_last_name": "SHEHATA",
        "authorized_official_first_name": "MABROOK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-577-1098",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanette Kay Lasater, MFT
• Robin N Lewis, RN
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• Haily Macedo
• Elaine M Madayag-Capuno, MD
• Chaitanya Natvarsinh Mahida, M.D.
• Kalindi Caroline Malcom
• Pariya Manit, DDS

• Specialist in Oakdale, CA
• Providers in Oakdale, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.