MABROOK L. SHEHATA MD MEDICAL CORPORATION (NPI# 1730567108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730567108 |
| Entity Type | Organization |
| Organization Name | MABROOK L. SHEHATA MD MEDICAL CORPORATION |
| Practice Address |
350 S Oak Ave Oakdale CA 95361-3519 |
| Mailing Address |
2660 Crimson Canyon Dr Ste 130 Las Vegas NV 89128-0846 |
| Practice Telephone | 7024533799 |
| Mailing Telephone | 6613278000 |
| Mailing Fax Number | 6613278020 |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2020-11-06 |
| Authorized Official Name | MABROOK L SHEHATA (PRESIDENT) |
| Authorized Official Telephone | 5625771098 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 300 Canal St, King City, CA 939303431 | 7024533799 |
| Street Address |
350 S OAK AVE |
| City | OAKDALE |
| State | CA |
| Zip Code | 95361-3519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184612483 | Brian Karl O'bannon | Physician Assistant | 350 S Oak Ave, Oakdale, CA 95361-3519 | 2005-10-11 |
| 1346620887 | Eric Jon Healy | Pharmacist | 350 S Oak Ave, Oakdale, CA 95361-3519 | 2015-05-30 |
| 1669883278 | Geanny Ryan | Nurse Practitioner | 350 S Oak Ave, Oakdale, CA 95361-3519 | 2014-05-16 |
| 1417102716 | Oak Valley Hospital District | Ambulance | 350 S Oak Ave, Oakdale, CA 95361-3519 | 2008-12-01 |
| 1942475900 | Yosemite Pathology Medical Group,inc | Clinical Medical Laboratory | 350 S Oak Ave, Oakdale, CA 95361-3519 | 2008-04-29 |
| 1346381415 | Oak Valley Hospital District | Ambulance | 350 S Oak Ave, Oakdale, CA 95361-3519 | 2007-02-09 |
| 1003954694 | Max Mehrdad Maude | Physician Assistant | 350 S Oak Ave, Oakdale, CA 95361-3519 | 2007-02-03 |
| 1649317793 | Hong Kee Kim | Anesthesiology | 350 S Oak Ave, Oakdale, CA 95361-3519 | 2007-01-30 |
| 1598862054 | Oakdale Medical Group Inc | Emergency Medicine | 350 S Oak Ave, Oakdale, CA 95361-3519 | 2006-09-19 |
| 1750300372 | Bruce Baysin Chou | Anesthesiology | 350 S Oak Ave, Oakdale, CA 95361-3519 | 2006-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427453190 | Janet Kennedy Barretta | Marriage & Family Therapist | 210 South Sierra Suite 209 Serenity Heart Counseling Se, Oakdale, CA 95361 | 2014-10-23 |
| 1629483946 | Gina Maria Womack | Physical Therapy Assistant | 1570 E. F Street # N, Oakdale, CA 95361 | 2014-06-25 |
| 1457636946 | Eugene Awuah | Pharmacist | 2048 Royal Ascot Way, Oakdale, CA 95361 | 2011-10-15 |
| 1679852669 | Shiow-yan Chen | Pharmacist | 1449 East F Street Suite 102, Oakdale, CA 95361 | 2011-08-09 |
| 1659592475 | David Michael Meyers | Chiropractor | 715 West F Street, Oakdale, CA 95361 | 2007-05-01 |
| 1043372691 | Joanne Mccartney | Nurse Practitioner | 700 Laurel Avenue, Oakdale, CA 95361 | 2006-12-13 |
| 1457445587 | Suzanne Streater | Marriage & Family Therapist | 145 North Second Avenue, Suite 8, Oakdale, CA 95361 | 2006-10-03 |
| 1689786972 | Christina Louise Tourtlotte | Dentist | 1473 East G St, Ste C, Oakdale, CA 95361 | 2006-08-31 |
| 1750395042 | Janet R Busic | Psychologist | 7248 Gold Run Dr, Oakdale, CA 95361 | 2006-07-29 |
| 1609807346 | Consuelos S. Dizon | Anesthesiology | Oak Valley Hospital, 350 South Oak Ave., Oakdale, CA 95361 | 2006-07-05 |
| Find all providers in zip 95361 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871060632 | Samantha Kitson | Specialist | 4 Beverly Rd, Oakdale, NY 11769-1955 | 2018-10-30 |
| 1417480591 | Kristen Domingo | Specialist | 228 Matthews Rd, Oakdale, NY 11769-1845 | 2017-04-06 |
| 1366988008 | Dana Kearney | Specialist | 12 Mina Rd, Oakdale, NY 11769-1827 | 2017-01-18 |
| 1386026888 | Wmc Physician Practices LLC | Specialist | 400 Market Place Dr, Oakdale, PA 15071-4007 | 2015-06-22 |
| 1730569153 | Sharon Ruckdeschel | Specialist | 32 La Salle Place, Oakdale, NY 11769 | 2015-06-01 |
| 1134569940 | Michelle Irene Mchugh | Specialist | 105 Middlesex Ave, Oakdale, NY 11769-1951 | 2013-06-26 |
| 1356604763 | Andrea Marie Mancuso | Specialist | 4011 Wilshire Ln, Oakdale, NY 11769-1446 | 2012-06-20 |
| 1144581125 | Christine Vanjaeckel | Specialist | 434 Hayward Ave N, Oakdale, MN 55128 | 2012-06-06 |
| 1851544225 | Roberta Biancuzzo Staebler | Specialist | 69 Woody Ln, Oakdale, NY 11769-1537 | 2008-10-29 |
| 1447443924 | Nicole Marie Messier | Specialist | 4739 Wilshire Ln, Oakdale, NY 11769-1450 | 2007-08-20 |
| Find all providers in OAKDALE | ||||
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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.