Healthcare Provider Details

I. General information

NPI: 1437025954
Provider Name (Legal Business Name): ALSHIFAA MEDICAL GROUP, A PROFESSIONAL MEDICAL CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2025
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

436 S MAGNOLIA AVE STE 101
EL CAJON CA
92020-5219
US

IV. Provider business mailing address

436 S MAGNOLIA AVE STE 101
EL CAJON CA
92020-5219
US

V. Phone/Fax

Practice location:
  • Phone: 619-383-7773
  • Fax: 619-383-7774
Mailing address:
  • Phone: 619-383-7773
  • Fax: 619-383-7774

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NITTLY CHAHAL
Title or Position: CEO
Credential:
Phone: 619-383-7773