Provider Demographics
NPI:1336472240
Name:ALSHIFA MEDICAL GROUP
Entity Type:Organization
Organization Name:ALSHIFA MEDICAL GROUP
Other - Org Name:CALVINE URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:KAPASI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-501-0728
Mailing Address - Street 1:3605 AGNETA COURT
Mailing Address - Street 2:C/O MARGARET KAPASI
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95758-7408
Mailing Address - Country:US
Mailing Address - Phone:916-501-0728
Mailing Address - Fax:916-683-9604
Practice Address - Street 1:8325 ELK GROVE FLORIN RD
Practice Address - Street 2:SUITE 800
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95829-9523
Practice Address - Country:US
Practice Address - Phone:916-226-6190
Practice Address - Fax:916-689-5038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-09
Last Update Date:2012-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care