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DR. SAM SHIESHA MD, FAAFP
NPI 1316046253
Family Medicine - Adult Medicine in Tehachapi, CA

Active since September 21, 2006
25101 BEAR VALLEY RD, PMB 347, TEHACHAPI, CA 93561(661) 335-2891 Get Directions Write a Review

NPPES record last updated: October 20, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Sam Shiesha Md, Faafp NPPES

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

DR. SAM SHIESHA MD, FAAFP (NPI 1316046253) is an individual adult medicine provider in Tehachapi, California, licensed in California (A46051) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1316046253
Entity TypeIndividualMale
Primary Taxonomy207QA0505X
Provider Legal NameDR. SAM SHIESHACredential: MD, FAAFP
Location Address25101 BEAR VALLEY RD, PMB 347Tehachapi, CA 93561-8311
Mailing Address25101 Bear Valley Rd, Pmb 347Tehachapi, CA 93561-8311 · (661) 335-2891
Phone(661) 335-2891
Sole ProprietorYes
Enumeration DateSeptember 21, 2006
Last NPPES UpdateOctober 20, 2011
✔ NPI 1316046253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in CA · A46051
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
Also ListedFamily Medicine · Adolescent MedicineTaxonomy 207QA0000X · License A46051 (CA)
25101 BEAR VALLEY RD, Tehachapi, CA 93561
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Other Identifiers 2

Medicaid00A460510CA
Medicare ID-Type UnspecifiedWA46051CCA

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 Sam Shiesha's NPI number?

The NPI number for Sam Shiesha is 1316046253. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Sam Shiesha located?

Sam Shiesha practices at 25101 Bear Valley Rd Pmb 347, Tehachapi, CA 93561. The listed phone number is (661) 335-2891.

What is Sam Shiesha's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for Sam Shiesha was last updated on October 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.