Sheibani LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

MD28909 Issued in OR

Legal business name

SHEIBANI LLC

Doing business as

SUNSHINE PEDIATRICS

Practice address

932 W Idaho Ave Ste 101
Ontario, OR 97914-2155

Phone

(541) 889-6476

Fax

(541) 889-7403

NPI assigned

Feb 9, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Shideh Sheibani, MD

Title

Medical Doctor/ Owner

Phone

(541) 889-6476

Specialties & licenses 1

Addresses

Other names 1

• SUNSHINE PEDIATRICS Doing business as

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

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234137600000",
    "number": "1790924173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 W IDAHO AVE STE 101",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979142155",
            "telephone_number": "541-889-6476",
            "fax_number": "541-889-7403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 W IDAHO AVE STE 101",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979142155",
            "telephone_number": "541-889-6476",
            "fax_number": "541-889-7403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEIBANI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-09",
        "last_updated": "2009-02-09",
        "status": "A",
        "authorized_official_last_name": "SHEIBANI",
        "authorized_official_first_name": "SHIDEH",
        "authorized_official_title_or_position": "MEDICAL DOCTOR/ OWNER",
        "authorized_official_telephone_number": "541-889-6476",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "OR",
            "license": "MD28909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUNSHINE PEDIATRICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Scudder
• Alexis Yvonne Sederberg
• Annette Serrano
• Misty Shaffer
• Marci Shaw
• Tess Diane Shellenbarger, LCPC, LPC, MAC, CADC
• Sandra I Shelton, QMHP
• Devona Lynn Shepard
• Gabierelle Ann Sherry
• Madison Shira

• Preferred Provider Organization in Ontario, OR
• Providers in Ontario, OR by specialty
• Preferred Provider Organization in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2009; 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.