Nael M Shahatto, MD

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

A52423 Issued in CA

Practice address

399 E Highland Ave
Ste 309
San Bernardino, CA 92404

Phone

(909) 883-9953

Fax

(909) 883-2840

NPI assigned

Sep 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402272000000",
    "number": "1922100320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22421 BARTON RD # 296",
            "city": "GRAND TERRACE",
            "state": "CA",
            "postal_code": "923135008",
            "telephone_number": "909-883-9953",
            "fax_number": "909-883-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 E HIGHLAND AVE",
            "address_2": "STE 309",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "92404",
            "telephone_number": "909-883-9953",
            "fax_number": "909-883-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHATTO",
        "first_name": "NAEL",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2014-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A52423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A524230",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Muhammad Shikaib Shabbir, M.D.
• Leah Jade Shackelford
• Tori Shade
• Shady Glen Facility
• Smita Jayprakash Shah, M.D.
• Marwah Shahid, MD
• Babac Shahmohamady, M.D.
• Almoutaz Bellah Shakally, M.D.
• Brent Eugene Shakespeare, D.D.S.
• Elena Johanna Danielle Shand

• Infectious Disease Physician in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Infectious Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; 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.