Sam Shiesha is a Adult Medicine in Tehachapi, California. Sam Shiesha practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Sam Shiesha is 1316046253. The last update date is 2011-10-20.
Sam Shiesha's current location address is 25101 Bear Valley Rd, Tehachapi, California. You can contact this provider via phone number 6613352891. The mailing address for Sam Shiesha is 25101 Bear Valley Rd, Tehachapi, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Sam Shiesha |
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Address | 25101 Bear Valley Rd, Tehachapi, California |
Phone Number | 6613352891 |
Fax Number | |
Sole Proprietor | Y |
Credentials | MD, FAAFP |
NPI Number Detail
NPI Number | 1316046253 |
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Provider Enumeration Date | 2006-09-21 |
Last Updated Date | 2011-10-20 |
Provider Mailing Address Detail
Address | 25101 Bear Valley Rd |
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City | Tehachapi |
State | California (CA) |
Post Code | 935618311 |
Phone Number | 6613352891 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Adult Medicine |
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Taxonomy | 207Qa0505X |
Licence No | A46051 |
Definition: The NUCC recommends this code not be used. Choose a more appropriate code. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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00A460510 | CA | -- |
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What is the unique identification code assigned to Sam Shiesha by the Centers for Medicare & Medicaid Services?
The Sam Shiesha has been issued the NPI (National Provider Identifier) 1316046253. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Sam Shiesha?
The Sam Shiesha is physically situated at 25101 Bear Valley Rd, in the city of Tehachapi, state of CA, with the postal code 935618311.
What is Sam Shiesha's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Sam Shiesha is Adult Medicine, and the corresponding taxonomy classification code for this specialized field is 207Qa0505X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1316046253 to Sam Shiesha?
The Centers for Medicare & Medicaid Services originally issued the 1316046253 to Sam Shiesha on 2006-09-21.
As of what date were the details related to Sam Shiesha most recently updated or revised?
The information pertaining to Sam Shiesha, including its address, specialty, and other relevant details, was last updated or revised on 2011-10-20.
NPI Number: 1376546309
Address: 1498 Se Tech Center Pl Ste 240, Vancouver, WA