Individual provider Active NPI

Shefiu Shonibare

  • Secured Medical Transport (VAN)
  • Cypress, TX
National Provider Identifier
1780349449
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Secured Medical Transport (VAN)Taxonomy code 343800000X
Practice address
15015 Canyon Park View Dr
Cypress, TX 77433-1555
Phone
(612) 222-0410
NPI assigned
Nov 7, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 40598162 TX
Secured Medical Transport (VAN) 343800000X Primary

Addresses

Primary practice location

15015 Canyon Park View Dr
Cypress, TX 77433-1555

Mailing address

15015 Canyon Park View Dr
Cypress, TX 77433-1555
Phone (612) 222-0410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
40598162TXMDNon-emergency Medical Transport (VAN)

Practice roles

OrganizationSpecialtyStatusNew patients
Farmaj LLC Secured Medical Transport (Van) CurrentSince Feb 13, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1636243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1780349449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15015 CANYON PARK VIEW DR",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774331555",
            "telephone_number": "612-222-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15015 CANYON PARK VIEW DR",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774331555",
            "telephone_number": "612-222-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHONIBARE",
        "first_name": "SHEFIU",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-07",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "TX",
            "license": "40598162",
            "primary": false
        },
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; 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.