Individual provider Active NPI

Shiva Hashem, DC

  • Chiropractor
  • Fallbrook, CA
National Provider Identifier
1952950776
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC26269 Issued in CA
Practice address
746 S Main Ave Ste D
Fallbrook, CA 92028-3352
Phone
(760) 779-2400
NPI assigned
Sep 4, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC26269 CA Primary

Addresses

Primary practice location

746 S Main Ave Ste D
Fallbrook, CA 92028-3352

Mailing address

746 S Main Ave Ste D
Fallbrook, CA 92028-3352
Phone (760) 779-2400

Other identifiers 1

IdentifierTypeStateIssuer
DC26269OtherCASTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.officeally.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191210000527 CA Practitioner - Chiropractic 7719310515 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC26269CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Centers of San Diego, Inc CurrentSince Jan 4, 2021 Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince Jan 4, 2021 Accepting new patients

Locations

251 Landis Ave
Chula Vista, CA 91910
Phone (619) 515-2500

1809 National Ave
San Diego, CA 92113
Phone (619) 515-2500

823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323

Organizations & group practices 2

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": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1952950776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "746 S MAIN AVE STE D",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920283352",
            "telephone_number": "760-779-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "746 S MAIN AVE STE D",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920283352",
            "telephone_number": "760-779-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASHEM",
        "first_name": "SHIVA",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "DC26269",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.officeally.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "EHR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Text",
            "address_1": "746 S Main Ave Ste D",
            "city": "Fallbrook",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920283352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fallbrook, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.