SHADI SHAMS
NPI 1508569971
Student in an Organized Health Care Education/Training Program in San Diego, CA

Active since March 24, 2023
3020 CHILDRENS WAY # MC5009, SAN DIEGO, CA 92123(858) 966-5819 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 17, 2025, Mar 28, 2023, Mar 25, 2023 (3 updates tracked since 2023).

About Shadi Shams NPPES

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

SHADI SHAMS (NPI 1508569971) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1508569971
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSHADI SHAMS
Location Address3020 CHILDRENS WAY # MC5009San Diego, CA 92123-4223
Mailing Address3020 Childrens Way # Mc5009San Diego, CA 92123-4223 · (858) 966-5819
Sole ProprietorNo
Enumeration DateMarch 24, 2023
Last NPPES UpdateJune 17, 20253 updates tracked since enumeration
NPPES CertifiedJune 17, 2025
NPI 1508569971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
3020 CHILDRENS WAY # MC5009, San Diego, CA 92123

Other Providers at the Same Location NPPES 2

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

Student in an Organized Health Care Education/Training Program
3020 CHILDRENS WAY # MC5009
SAN DIEGO, CA 92123
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
3020 CHILDRENS WAY # MC5009
SAN DIEGO, CA 92123

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 Shadi Shams's NPI number?

The NPI number for Shadi Shams is 1508569971. It was assigned to this individual provider in the NPPES registry on March 24, 2023.

Where is Shadi Shams located?

Shadi Shams practices at 3020 Childrens Way # Mc5009, San Diego, CA 92123. The listed phone number is (858) 966-5819.

What is Shadi Shams'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 Shadi Shams was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.