Healthcare Provider Details

I. General information

NPI: 1497021984
Provider Name (Legal Business Name): SHAHEEN TAGHIZADEH NAJAFI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2012
Last Update Date: 11/04/2020
Certification Date: 11/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2315 STOCKTON BLVD STE 2P101
SACRAMENTO CA
95817-2201
US

IV. Provider business mailing address

13221 WESTMARK WAY UNIT 23
POWAY CA
92064-4763
US

V. Phone/Fax

Practice location:
  • Phone: 916-734-7506
  • Fax: 916-734-4810
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberA127705
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: