DR. SAM SHIESHA


Address: 25101 Bear Valley Rd, Pmb 347, Tehachapi, CA 93561-8311
Phone: 6613352891

DR. SAM SHIESHA (NPI# 1316046253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316046253
Entity Type Individual
Full Name DR. SAM SHIESHA
Credential MD, FAAFP
Practice Address 25101 Bear Valley Rd
Pmb 347
Tehachapi
CA 93561-8311
Practice Telephone 6613352891
Mailing Telephone 6613352891
Enumeration Date 2006-09-21
Last Update Date 2011-10-20
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207QA0000X Family Medicine
Specialization: Adolescent Medicine
A46051 CA Allopathic & Osteopathic Physicians
Y 207QA0505X Family Medicine
Specialization: Adult Medicine
A46051 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00A460510 05

Office Location

Street Address 25101 BEAR VALLEY RD
PMB 347
City TEHACHAPI
State CA
Zip Code 93561-8311

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295353795 Charles David Arcaro Counselor 20242 W Valley Blvd, Ste E, Tehachapi, CA 93561 2020-07-10
1063042422 Behavior Education Analysis & Research LLC Behavioral Analyst 26300 Chester Ct., Tehachapi, CA 93561 2020-01-24
1821628637 Healing Connections: Child and Family Therapy, Inc. Marriage & Family Therapist 20601 Highway 202, Unit A104, Tehachapi, CA 93561 2020-01-21
1245798503 Alanamarie Pearsall Chiropractor 20406 Brian Way, Std 4d, Tehachapi, CA 93561 2019-03-06
1205329430 Stephanie Edman Acupuncturist 276 S. Mill St. Suite A, Tehachapi, CA 93561 2018-06-12
1487010476 Cassaundra Jo Lynch Pharmacist 24900 Ca-202, Tehachapi, CA 93561 2016-01-07
1407222888 Erin E Grillo Physical Therapist 815 Tucker Rd Ste C, Tehachapi, CA 93561 2015-08-19
1447634258 Jennifer Diaz Licensed Vocational Nurse 113 E F Street, Tehachapi, CA 93561 2015-07-13
1497138408 Scott Long Specialist/Technologist 28400 Stallion Springs, Tehachapi, CA 93561 2015-07-08
1780064154 Juan Medina Student in an Organized Health Care Education/Training Program 113 East F Street, Tehachapi, CA 93561 2015-06-01
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Taxonomy Information

Taxonomy Code 207QA0505X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Adult Medicine

Taxonomy Definition

Definition to come.

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1942826797 In-home Medical Mobile Services, Inc. Family Medicine 3400 E 8th St Ste 202, National City, CA 91950-3169 2020-06-17
1386269306 Universal Mobile Doctors Inc Family Medicine 15333 Sherman Way Ste P, Van Nuys, CA 91406-4204 2020-06-16
1619597671 Harry Eisenbach Family Medicine 9312 Smoketree Ln, Villa Park, CA 92861-1011 2020-04-20
1669092854 Wellbeing Clinic Inc Family Medicine 1621 S New Hampshire Ave, Los Angeles, CA 90006-4513 2020-04-17
1619513611 Krista Mckinney Family Medicine 344o E. La Palma Avenue, Anaheim, CA 92806 2019-11-25
1457995565 Ucsf Medical Group Business Services Family Medicine 1100 Park Pl Ste 100, San Mateo, CA 94403-7119 2019-10-31
1780237313 Charles Kim Md Inc Family Medicine 3055 W Orange Ave Ste 204, Anaheim, CA 92804-3154 2019-07-23
1083277206 Baum 5 Star Healthcare Family Medicine 560 W Grangeville Blvd Ste A, Hanford, CA 93230-2858 2019-04-15
1477025278 Connexus Family Clinic Inc Family Medicine 1930 E. Anaheim Street, N/a, Long Beach, CA 90813-3908 2018-12-19
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Competitor

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City TEHACHAPI
Zip Code 93561

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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