SHAHIDA DADABHOY A PROFESSIONAL CORPORATION
NPI 1639585482
Pediatrics - Adolescent Medicine in Pomona, CA

Active since July 01, 2014CLIA 05D0985282 · Waiver
145 W WILLOW ST, POMONA, CA 91768(909) 865-5555 Get Directions Write a Review

NPPES record last updated: July 1, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shahida Dadabhoy A Professional Corporation NPPES

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

SHAHIDA DADABHOY A PROFESSIONAL CORPORATION (NPI 1639585482) is a healthcare organization registered as an adolescent medicine in Pomona, California and active in the NPI registry since July 2014. The organization holds a CLIA Waiver certificate valid through April 11, 2027 and lists Shahida Dadabhoy, President, as its authorized official.

NPPES Registry Identity

NPI1639585482
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameSHAHIDA DADABHOY A PROFESSIONAL CORPORATION
Location Address145 W WILLOW STPomona, CA 91768-1829
Mailing Address145 W Willow StPomona, CA 91768-1829 · (909) 865-5555
Organization SubpartNo
Authorized OfficialShahida DadabhoyPresident · (909) 865-5555
Enumeration DateJuly 1, 2014
NPI 1639585482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License Licensed in CA · A51315
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
145 W WILLOW ST, Pomona, CA 91768

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 MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0985282

Shahida Dadabhoy A Professional Corporation · Pomona, CA
Active · expires Apr 11, 2027
CLIA Number05D0985282
Laboratory TypePhysician Office
Certificate Effective DateApril 12, 2025
Certificate Expiration DateApril 11, 2027
Laboratory DirectorShahad Dadabhay MD
Laboratory Phone(909) 865-5555
Laboratory LocationShahida Dadabhoy A Professional Corporation145 W Willow St, Pomona, CA 91768
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Pediatrics (Adolescent Medicine)
145 W WILLOW ST
POMONA, CA 91768

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 Shahida Dadabhoy A Professional Corporation's NPI number?

The NPI number for Shahida Dadabhoy A Professional Corporation is 1639585482. It was assigned to this organization in the NPPES registry on July 1, 2014.

Where is Shahida Dadabhoy A Professional Corporation located?

Shahida Dadabhoy A Professional Corporation is located at 145 W Willow St, Pomona, CA 91768. The listed phone number is (909) 865-5555.

What is Shahida Dadabhoy A Professional Corporation's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Does Shahida Dadabhoy A Professional Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0985282) is associated with this NPI, valid through April 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Shahida Dadabhoy A Professional Corporation was last updated on July 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.