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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHAISTA ANSARI

Active Sole Proprietor

SHAISTA ANSARI is a Assisted Living Facility healthcare provider located in MORENO VALLEY, California. NPI 1588282974 is currently active in the NPPES registry. Verify at CMS.

Assisted Living Facility · MORENO VALLEY, CA

Registration Details

NPI Number
1588282974
Provider Type
Individual
Gender
Female
NPI Issued
Jul 11, 2020 (6.0766700991143 yrs)
Last Updated
Jul 11, 2020
License
331800166 (CA)
Sole Proprietor
Yes

Practice Information

Address
13816 NATHAN PL
MORENO VALLEY, CA, 925555609
Browse CA providers · Browse ZIP 92555
Phone
9512428875
Primary Specialty
Assisted Living Facility
310400000X

Other Assisted Living Facility Providers in MORENO VALLEY, CA

Name Credential NPI
BOBBI BARR 1972369650
TESSY OKAFOR 1124832290
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.