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SREDHA MARIAM SHINE
NPI 1144839234
Student in an Organized Health Care Education/Training Program in San Diego, CA

Active since July 24, 2020
480 ALTA RD, SAN DIEGO, CA 92179(619) 661-6500 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 2, 2024, Aug 10, 2020, Jul 24, 2020 (3 updates tracked since 2020).

About Sredha Mariam Shine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SREDHA MARIAM SHINE (NPI 1144839234) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since July 2020. She maintains a secondary practice location in Berkeley.

NPPES Registry Identity

NPI1144839234
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSREDHA MARIAM SHINE
Location Address480 ALTA RDSan Diego, CA 92179-0001
Mailing Address480 Alta RdSan Diego, CA 92179-0001 · (619) 661-6500
Phone(619) 661-6500
Sole ProprietorNo
Enumeration DateJuly 24, 2020
Last NPPES UpdateJuly 2, 20243 updates tracked since enumeration
NPPES CertifiedJuly 2, 2024
✔ NPI 1144839234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
480 ALTA RD, San Diego, CA 92179
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Secondary Practice Location 1

Location 13075 Adeline St Ste 120Berkeley, CA 94703-2579 · Phone (510) 848-1112

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RAFAEL ELIAS OLIVARES CHAYEB
Psychologist (Clinical)
480 ALTA RD
SAN DIEGO, CA 92179
San Diego County (619) 691-6947
DR. KRISTI WONG PSYD
Psychologist (Clinical)
480 ALTA RD
SAN DIEGO, CA 92179
San Diego County (619) 661-6500
DR. SONIA Y RUIZ PHD
Psychologist (Clinical)
480 ALTA RD
SAN DIEGO, CA 92179
San Diego County (619) 661-6500
DR. VERA MELKUMYAN PSY. D
Psychologist (Clinical)
480 ALTA RD
SAN DIEGO, CA 92179
San Diego County (619) 661-6500
DR. STEVEN W CHU PHARMD
Pharmacist
480 ALTA RD
SAN DIEGO, CA 92179
San Diego County (619) 661-6500
JONEKA CLAYTON LCSW
Social Worker (Clinical)
480 ALTA RD
SAN DIEGO, CA 92179
San Diego County (619) 661-6500
YOSHINORI SATO PSY.D.
Psychologist (Clinical)
480 ALTA RD
SAN DIEGO, CA 92179
San Diego County (619) 661-6500
DR. ASHER JOHNSON PHD
Psychologist (Clinical)
480 ALTA RD
SAN DIEGO, CA 92179
San Diego County (619) 495-2252

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sredha Shine's NPI number?

The NPI number for Sredha Shine is 1144839234. It was assigned to this individual provider in the NPPES registry on July 24, 2020.

Where is Sredha Shine located?

Sredha Shine practices at 480 Alta Rd, San Diego, CA 92179. The listed phone number is (619) 661-6500.

What is Sredha Shine's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Sredha Shine was last updated on July 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.