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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 00A460510 | 05 |
Street Address |
25101 BEAR VALLEY RD PMB 347 |
City | TEHACHAPI |
State | CA |
Zip Code | 93561-8311 |
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 |
Find all providers in zip 93561 |
Taxonomy Code | 207QA0505X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Adult Medicine |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306446091 | Candace Maglinao | Family Medicine | 21010 Anza Ave Apt 12, Torrance, CA 90503-4254 | 2020-10-30 |
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 |
Find all providers with the same taxonomy |
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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.