NPIMap

Individual provider Active NPI

Shabana N Tariq, MD

  • Family Medicine Physician
  • Sylmar, CA
National Provider Identifier
1992870299
Registry record updated Jun 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A88352 Issued in CA
Practice address
14445 Olive View Dr
Sylmar, CA 91342-1437
Phone
(818) 364-3205
NPI assigned
Nov 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A88352 CA Primary

Addresses

Primary practice location

14445 Olive View Dr
Sylmar, CA 91342-1437

Mailing address

11021 Vanalden Ave
Northridge, CA 91326-2324
Phone (818) 831-5379

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051103001234 CA Practitioner - Family Practice 5698793016 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A88352CAMDFamily Medicine Physician

Practice roles (9 of 10)

OrganizationSpecialtyStatusNew patients
Northeast Valley Health Corporation CurrentSince Jul 25, 2018 Accepting new patients
Valley Community Healthcare CurrentSince Jun 5, 2017 Accepting new patients
County of Los Angeles Auditor Controller CurrentSince Jul 18, 2016 Accepting new patients
Northeast Valley Health Corporation Current Accepting new patients
Northeast Valley Health Corporation CurrentSince Jul 25, 2018 Accepting new patients
Golden State Emergency Physicians Inc CurrentSince Aug 1, 2017 Accepting new patients
Valley Community Healthcare CurrentSince Jun 5, 2017 Accepting new patients
County of Los Angeles Current Accepting new patients
County of Los Angeles CurrentSince Jul 18, 2016 Accepting new patients

Locations

1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555

7843 Lankershim Blvd
North Hollywood, CA 91605
Phone (818) 765-8656

6801 Coldwater Canyon Ave
North Hollywood, CA 91605
Phone (818) 301-6307

1172 N Maclay Ave
San Fernando, CA 91340
Phone (818) 898-1388

1600 San Fernando Rd
San Fernando, CA 91340
Phone (818) 365-8086

2509 Pico Blvd
Santa Monica, CA 90405
Phone (310) 664-7901

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: shabana.tariq.d1.p1@direct.nevhc.nextgenshare.com

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1994
Medicare assignment
May accept Medicare assignment
Group practices
Northeast Valley Health Corporation 77 clinicians

Practice addresses (Care Compare)

1600 San Fernando Rd
San Fernando, CA 91340-3115
Phone (818) 365-8086

Hospital & facility affiliations

  • Sinclair Home Health Services, Inc Home health agency, Burbank, CA, CCN 059728
  • Elite Home Health Group Home health agency, Los Angeles, CA, CCN 559565
  • Mammoth Home Health Care Inc Home health agency, Van Nuys, CA, CCN 559257
  • First Doc Home Health, Inc. Home health agency, Glendale, CA, CCN 757321
  • P.a.L. Loving Care Home Health, Inc. Home health agency, Los Angeles, CA, CCN 059623

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434067200000",
    "number": "1992870299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11021 VANALDEN AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913262324",
            "telephone_number": "818-831-5379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14445 OLIVE VIEW DR",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913421437",
            "telephone_number": "818-364-3205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARIQ",
        "first_name": "SHABANA",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2015-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A88352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylmar, CA

Sources for this page

Verify at the official NPI Registry.