Shafi Khalid MD PC

Primary specialty

Pain Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084P2900X

License

C51093 Issued in CA

Legal business name

SHAFI KHALID MD PC

Doing business as

San Diego Pain Consultants,PC

Practice address

15725 Pomerado Rd
Suite 105
Poway, CA 92064-2068

Phone

(858) 485-7246

Fax

(858) 485-8676

NPI assigned

Jun 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Shafi M. Khalid, MDNPI 1750343760

Title

Director

Phone

(858) 485-7246

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• San Diego Pain Consultants,PC Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 4

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

• Shafi M. Khalid, M.D.

  • Interventional Pain Medicine Physician
  • Poway, CA
  • NPI 1750343760
  Medicare reassignment Authorized official
• John D Adeiza, NP

  • Nurse Practitioner
  • Escondido, CA
  • NPI 1174918585
  NPD (past)
• Ilsu Min Maslanka, NP

  • Family Nurse Practitioner
  • San Diego, CA
  • NPI 1689150096
  NPD (past)
• Fahima M Nasar, MD

  • Spinal Cord Injury Medicine Physician
  • San Diego, CA
  • NPI 1780798447
  NPD (past)

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1740228469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15725 POMERADO RD",
            "address_2": "SUITE 105",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642068",
            "telephone_number": "858-485-7246",
            "fax_number": "858-485-8676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15725 POMERADO RD",
            "address_2": "SUITE 105",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642068",
            "telephone_number": "858-485-7246",
            "fax_number": "858-485-8676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAFI KHALID MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "KHALID",
        "authorized_official_first_name": "SHAFI",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "858-485-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "C51093",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "C51093",
            "primary": false
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "CA",
            "license": "C51093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740228469",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750343760",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Diego Pain Consultants,PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Sepe, D.D.S.
• Jeffrey Seper
• Nadia Serrato
• Karina Sevillano
• Mojdeh Newsha Seyyedi, RN
• Jamie Neiree Innerfield Shafir
• Aabha Harsh Shah, PT
• Nada Shaker
• Cheryl Lynne Shanmugam, MD
• Norman Sidney Sharoff, M.D.

• Pain Medicine (Psychiatry & Neurology) Physician in Poway, CA
• Providers in Poway, CA by specialty
• Pain Medicine (Psychiatry & Neurology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.