DR. SAM SHIESHA MD FAAFP NPI 1316046253

NPI Information

  • NPI: 1316046253
  • Provider Name: DR. SAM SHIESHA, MD, FAAFP
  • Classification: Family Medicine - 207QA0505X
  • Specialization: Adult Medicine
  • Entity Type: Individual
  • Address: 25101 BEAR VALLEY RD
    PMB 347
    TEHACHAPI, CA
    ZIP 93561
  • Phone: (661) 335-2891

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NPI Details

DR. Sam Shiesha, MD, FAAFP is an adult medicine family medicine in Tehachapi, CA. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. DR. Sam Shiesha, MD, FAAFP NPI is 1316046253. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

25101 BEAR VALLEY RD
PMB 347
TEHACHAPI, CA
ZIP 93561-311
Phone: (661) 335-2891

The enumeration date for this NPI number is 9/21/2006 and was last updated on 10/20/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QA0000XFamily MedicineAdolescent MedicineA46051CALIFORNIANo
2207QA0505XFamily MedicineAdult MedicineA46051CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100A460510MEDICAIDCALIFORNIA
2WA46051CMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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