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SHIVA SHABNAM MD
NPI 1316246416
Internal Medicine in South Gate, CA

Active since March 15, 2011
3275 TWEEDY BLVD, SOUTH GATE, CA 90280(818) 674-0450(714) 731-8310 Get Directions Write a Review

NPPES record last updated: March 15, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shiva Shabnam Md NPPES

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

SHIVA SHABNAM MD (NPI 1316246416) is a healthcare organization registered as an internal medicine in South Gate, California and active in the NPI registry since March 2011. The organization lists Shiva Shabnam, President, as its authorized official.

NPPES Registry Identity

NPI1316246416
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSHIVA SHABNAM MD
Location Address3275 TWEEDY BLVDSouth Gate, CA 90280-4348
Mailing AddressPo Box 27851Anaheim, CA 92809-0128 · (818) 674-0450 · Fax (714) 731-8310
Phone(818) 674-0450
Fax(714) 731-8310
Organization SubpartNo
Authorized OfficialShiva ShabnamPresident · (818) 674-0450
Enumeration DateMarch 15, 2011
✔ NPI 1316246416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A110335
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3275 TWEEDY BLVD, South Gate, CA 90280
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

JOSHUA JORDAN MEDICAL CORPORATION
Internal Medicine
3275 TWEEDY BLVD
SOUTH GATE, CA 90280
Los Angeles County (714) 262-5136

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 Shiva Shabnam MD's NPI number?

The NPI number for Shiva Shabnam MD is 1316246416. It was assigned to this organization in the NPPES registry on March 15, 2011.

Where is Shiva Shabnam MD located?

Shiva Shabnam MD is located at 3275 Tweedy Blvd, South Gate, CA 90280. The listed phone number is (818) 674-0450.

What is Shiva Shabnam MD's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Shiva Shabnam MD was last updated on March 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.