Basic Information
Provider Information
NPI: 1497021984
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NAJAFI
FirstName: SHAHEEN
MiddleName: TAGHIZADEH
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 13221 WESTMARK WAY UNIT 23
Address2:  
City: POWAY
State: CA
PostalCode: 920644763
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 2315 STOCKTON BLVD STE 2P101
Address2:  
City: SACRAMENTO
State: CA
PostalCode: 958172201
CountryCode: US
TelephoneNumber: 9167347506
FaxNumber: 9167344810
Other Information
ProviderEnumerationDate: 03/28/2012
LastUpdateDate: 11/04/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/04/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000XA127705CAY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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