SHAFI ULLAH SIDDIQI (NPI# 1538499470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538499470 |
| Entity Type | Individual |
| Full Name | SHAFI ULLAH SIDDIQI |
| Credential | M.D. |
| Practice Address |
425 Diamond Dr Ste 102 Lake Elsinore CA 92530-4495 |
| Mailing Address |
18721 Paseo Picasso Irvine CA 92603-3328 |
| Practice Telephone | 9512260866 |
| Practice Fax Number | 9512260868 |
| Mailing Telephone | 9495107759 |
| Mailing Fax Number | 9512260868 |
| Enumeration Date | 2009-12-27 |
| Last Update Date | 2016-06-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | A102176 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
425 DIAMOND DR STE 102 |
| City | LAKE ELSINORE |
| State | CA |
| Zip Code | 92530-4495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396737110 | Peggy Elizabeth Dixon Mcgill | Nurse Practitioner | 425 Diamond Dr, Lake Elsinore, CA 92530-4495 | 2005-08-17 |
| 1497216824 | Megan Renee Hall | Physician Assistant | 425 Diamond Dr, Lake Elsinore, CA 92530-4495 | 2019-03-28 |
| 1942747951 | Rochelle Bui | Physician Assistant | 425 Diamond Dr, Suite #105, Lake Elsinore, CA 92530-4495 | 2017-01-28 |
| 1639594955 | Total Care Family Medical Center of Lake Elsinore Inc | Non-Pharmacy Dispensing Site | 425 Diamond Dr, Suite 102, Lake Elsinore, CA 92530-4495 | 2014-02-24 |
| 1932524501 | Roslyn Richardson | Nurse Practitioner | 425 Diamond Dr, Lake Elsinore, CA 92530-4495 | 2014-02-19 |
| 1497069660 | William M. Kelly M.d., Inc. | Radiology | 425 Diamond Dr, Suite 103, Lake Elsinore, CA 92530-4495 | 2010-07-30 |
| 1679737795 | Linda Marie Evans | Physical Therapist | 425 Diamond Dr, Ste. 101, Lake Elsinore, CA 92530-4495 | 2008-07-17 |
| 1700059995 | Farid Saadat Md Inc | Internal Medicine | 425 Diamond Dr, Suite 102, Lake Elsinore, CA 92530-4561 | 2008-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801479 | Mercedes Samantha Hamilton | Licensed Psychiatric Technician | 18465 Grand Ave, Lake Elsinore, CA 92530 | 2020-08-17 |
| 1700423779 | Karrene Louise Stanard | Peer Specialist | 31764 Casino Drive, Suite 300, Lake Elsinore, CA 92530 | 2019-12-09 |
| 1972149961 | Danielle Cravalho | Student in an Organized Health Care Education/Training Program | 31964 Mission Trail, Suite B, Lake Elsinore, CA 92530 | 2019-11-25 |
| 1952825648 | R.e. Levi Dental Corporation | Dentist | 32235 Mission Trail # 8, Lake Elsinore, CA 92530 | 2017-08-03 |
| 1144760729 | Alfred Metwashla | Pharmacist | 18269 Collier Ave, Lake Elsinore, CA 92530 | 2017-03-02 |
| 1750788733 | Roxanne Martinez | Case Manager/Care Coordinator | 31764 Casino Drive, Lake Elsinore, CA 92530 | 2014-11-19 |
| 1871870907 | Bryan Tuan Tran | Pharmacist | 160 Diamond Drive, Lake Elsinore, CA 92530 | 2011-11-03 |
| 1043590821 | Katherynn Elizabeth Williams | Marriage & Family Therapist | 600 Central Ave Ste 201, Lake Elsinore, CA 92530 | 2011-08-24 |
| 1861771677 | Judy Kelly | Marriage & Family Therapist | 224 West Graham Ave, Lake Elsinore, CA 92530 | 2011-08-10 |
| 1427343813 | Patrick Chern | Pharmacist | 18287 Collier Ave., Lake Elsinore, CA 92530 | 2011-06-14 |
| Find all providers in zip 92530 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235755299 | Hofmeister Medical, PC | General Practice | 31735 Riverside Dr Ste K, Lake Elsinore, CA 92530-7816 | 2020-06-24 |
| 1417578790 | Inland Empire Medical Group, Inc | General Practice | 506 W Graham Ave Ste 107, Lake Elsinore, CA 92530-3665 | 2020-04-28 |
| 1023311651 | Family Health Care of Southern California | General Practice | 31571 Canyon Estates Dr, Suite 225, Lake Elsinore, CA 92532-0471 | 2010-12-21 |
| 1124291828 | Thomas Edward Oliveira | General Practice | 506 W Graham Ave, Suite 107, Lake Elsinore, CA 92530-3666 | 2008-04-02 |
| 1518076256 | Oliveira Medical Inc | General Practice | 506 W Graham Ave, Ste 107, Lake Elsinore, CA 92530 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992986 | Lindsay Fry | General Practice | 375 Bonair St Apt 1, La Jolla, CA 92037-5911 | 2020-11-04 |
| 1255939674 | Kiira Health Practice Ca PC | General Practice | 123 S Figueroa St Apt 1202, Los Angeles, CA 90012-5490 | 2020-10-16 |
| 1851999627 | Golden State Medical Center PC | General Practice | 2551 San Ramon Valley Blvd Ste 108, San Ramon, CA 94583-1661 | 2020-10-14 |
| 1598362709 | Afua Takyi | General Practice | 1555 River Park Dr Ste 211, Sacramento, CA 95815-4604 | 2020-10-01 |
| 1316553530 | Kimberly Ann Callaway | General Practice | 4893 Drakewood Ter, San Diego, CA 92130-1406 | 2020-09-22 |
| 1376156109 | Gtl Medical Group Inc | General Practice | 14555 Hamlin St Ste 107, Van Nuys, CA 91411-1617 | 2020-08-31 |
| 1922611896 | Daniel Lynn Johnson | General Practice | 74075 El Paseo Ste B2, Palm Desert, CA 92260-4118 | 2020-08-28 |
| 1033733779 | South Bay Regenerative Medical Spa Inc | General Practice | 412 S Pacific Coast Hwy Ste 100, Redondo Beach, CA 90277-3712 | 2020-05-28 |
| 1568085041 | Integrated Advanced Medicine Inc | General Practice | 210 S Grand Ave Ste 408, Glendora, CA 91741-4282 | 2020-05-19 |
| 1851913917 | St Bishoy Medical Group | General Practice | 8545 Saturn St Apt 103, Los Angeles, CA 90035-3658 | 2020-05-12 |
| Find all providers with the same taxonomy | ||||
| City | LAKE ELSINORE |
| Zip Code | 92530 |
Please comment or provide details below to improve the information on SHAFI ULLAH SIDDIQI.
| 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.