Dr. Sam Shiesha
Family Doctor - Adult Medicine
25101 Bear Valley Rd Pmb 347
Tehachapi
, California 93561-8311
Dr. Sam Shiesha
Family Doctor - Adult Medicine
25101 Bear Valley Rd Pmb 347
Tehachapi
, California 93561-8311
(661) 335-2891
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About
Features
Specialties
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Dr. Sam Shiesha
- 25101 Bear Valley Rd Pmb 347
- Tehachapi, CA
- Zip : 93561-8311
- Phone : (661) 335-2891
Second Address
- Dr. Sam Shiesha
- 25101 Bear Valley Rd Pmb 347
- Tehachapi, CA
- Zip : 93561-8311
- Phone : (661) 335-2891
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0505X | Family Doctor - Adult Medicine | A46051 | CA |
National Provider Identifier
| NPI | 1316046253 |
|---|---|
| Provider Name | Dr. Sam Shiesha |
| First Address | Tehachapi, CA 93561-8311 |
| Second Address | Tehachapi, CA 93561-8311 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/09/2006 |
| Last Update Date | 20/10/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00A460510 | (05) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.