Shafi Siddiqi MD a Professional Corporation
NPI 1477229995 · General Practice Physician · Lake Elsinore, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shafi Siddiqi MD a Professional Corporation is a General Practice Physician organization in Lake Elsinore, CA (NPI 1477229995).
Provider details
- NPI number
- 1477229995
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Brigette Jackson, Credentialing Specialist(951) 667-0817
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-08-17
- Last updated
- 2021-08-17
- Certified
- 2021-08-17
Frequently asked questions
- What is Shafi Siddiqi MD a Professional Corporation's NPI number?
- Shafi Siddiqi MD a Professional Corporation's National Provider Identifier (NPI) is 1477229995, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shafi Siddiqi MD a Professional Corporation?
- Shafi Siddiqi MD a Professional Corporation is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Shafi Siddiqi MD a Professional Corporation located?
- Shafi Siddiqi MD a Professional Corporation's practice location on file with NPPES is 31569 Canyon Estates Dr Ste 201, Lake Elsinore, CA 92532-0475.
- What is Shafi Siddiqi MD a Professional Corporation's phone number?
- The practice phone number listed in the NPPES registry for Shafi Siddiqi MD a Professional Corporation is (951) 226-0866.
- Does Shafi Siddiqi MD a Professional Corporation accept Medicare?
- Shafi Siddiqi MD a Professional Corporation is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Shafi Siddiqi MD a Professional Corporation?
- The authorized official listed on Shafi Siddiqi MD a Professional Corporation's NPPES record is Brigette Jackson, Credentialing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shafi Siddiqi MD a Professional Corporation's NPI active?
- Yes — Shafi Siddiqi MD a Professional Corporation's NPI (1477229995) is active in the NPPES registry as of the last update on 2021-08-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.