Provision Medical Group Inc
NPI 1265342703ActiveOrganization· Nurse Practitioner· Santa Clarita, CA
Nurse Practitioner in Santa Clarita, California, registered in NPPES in September 2026. The authorized official on file is Junaida Shakhvaladyan, Ceo.
Overview
| NPI | 1265342703 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 8, 2026 |
| Last updated in NPPES | Sep 8, 2026 |
| Certified by provider | Sep 8, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other nurse practitioners in Santa Clarita
- 1205228699
- 1306584453
- 1356923205
- 1366050254
- 1306628623
- 1861161689
- 1083378061
- 1811567142
- 1851996896
- 1699429621
- 1689359226
- 1083845556
All 15 nurse practitioners in Santa Clarita · All nurse practitioners in California