| Suzan Shakhshir, FNP | |
|
18601 Valley Blvd, Bloomington, CA 92316-1831 | |
| (909) 546-7520 | |
| (909) 877-5468 |
| Full Name | Suzan Shakhshir |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 18601 Valley Blvd, Bloomington, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275875759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 22818 (California) | Primary |
| Entity Name | Community Health Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952308009 PECOS PAC ID: 7012824717 Enrollment ID: O20051117000822 |
| Mailing Address | Practice Location Address |
|---|---|
| Suzan Shakhshir, FNP 1450 E Holt Ave, Pomona, CA 91767-5822 Ph: (909) 630-7927 | Suzan Shakhshir, FNP 18601 Valley Blvd, Bloomington, CA 92316-1831 Ph: (909) 546-7520 |
Mr. Dimas Giovanni Calvachi, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18601 Valley Blvd, Bloomington, CA 92316 Phone: 909-546-7520 | |
Pratik Patel, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18612 Santa Ana Ave, Bloomington, CA 92316 Phone: 909-421-7120 | |
Taiwo Olanike Adams, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18651 Valley Blvd, Bloomington, CA 92316 Phone: 909-546-7520 | |
Mrs. Cathlene Ann Thompson, RNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18601 Valley Blvd, Bloomington, CA 92316 Phone: 909-877-0510 |