Shanaz Hatifi
Rehabilitation Practitioner in Sacramento, CA. Individual provider (NPI-1).
NPI number1154866465
StatusActive
Last updated in NPPESSep 23, 2026
Details
- NPI
- 1154866465
- Entity type
- Individual (NPI-1)
- Name
- Shanaz Hatifi
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 21, 2016
- Certification date
- Sep 23, 2026
- Last updated
- Sep 23, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | CA | Yes |
| 101Y00000X | Counselor | d2101371 | CA | |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
9343 Tech Center DrSacramento, CA 95826-2563
Phone 916-388-6400
Mailing address
210 Sutton Way Apt 220Grass Valley, CA 95945-4188
Phone 510-393-5796
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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