Sam Shiesha is a Adolescent Medicine in Tehachapi, California. Sam Shiesha practices all healthcare services and medical treatments related to Adolescent 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 |
|---|---|
| Address | 25101 Bear Valley Rd, Tehachapi, California |
| Phone Number | 6613352891 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MD, FAAFP |
NPI Number Detail
| NPI Number | 1316046253 |
|---|---|
| Provider Enumeration Date | 2006-09-21 |
| Last Updated Date | 2011-10-20 |
Provider Mailing Address Detail
| Address | 25101 Bear Valley Rd |
|---|---|
| City | Tehachapi |
| State | California (CA) |
| Post Code | 935618311 |
| Phone Number | 6613352891 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 207Qa0000X |
| Licence No | A46051 |
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Definition: A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A460510 | CA | -- |
Post Comment/ Review Below
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 Adolescent Medicine, and the corresponding taxonomy classification code for this specialized field is 207Qa0000X.
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
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