Shadeh Roostaie

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

333 Skyway Dr
Camarillo, CA 93010-8552

Phone

(805) 383-1155

NPI assigned

Sep 28, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Brian J McKinney, MD Inc.

  • Community/Behavioral Health Agency
  • Camarillo, CA
  • NPI 1427531425
  NPD (past)

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

{
    "created_epoch": "1727481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727481600000",
    "number": "1780402859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22629 DE KALB DR",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913024803",
            "telephone_number": "818-297-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 SKYWAY DR",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930108552",
            "telephone_number": "805-383-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOSTAIE",
        "first_name": "SHADEH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-28",
        "last_updated": "2024-09-28",
        "certification_date": "2024-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Romero
• Vanessa Catherine Romero, LMFT
• Stephanie Romine
• Francesca M. Rompal, M.A.
• Kathleen Jewesson Roney, RN, BSN, M.ED
• Ian Rosas
• Yesenia Mariecruz Rosas
• Thomas Allen Rose
• Melissa Rosenthal, M.S., P.T.
• Arturo Rosete Jr.

• Student in an Organized Health Care Education/Training Program in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2024; 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.