Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shamail S. Tariq, MD

Individual provider Interventional Cardiology Physician · NPI 1033370358

Shamail S. Tariq, MD is an Interventional Cardiology in Fullerton, California. Graduated from University of Missouri, Kansas City, School of Medicine in 2008, 18 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and Missouri.

Years since qualifying
18
Trained at
University of Missouri, Kansas City, School of Medicine
Licensed in
CA, MO
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

100 E Valencia Mesa Dr Ste 206
Fullerton, CA 92835-3817
Phone: (714) 446-5050
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence A116248 (CA)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence 2016007040 (MO)

Record details

NPI number1033370358
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 19, 2008
Last updated in NPPESJanuary 10, 2023
Certification dateJanuary 10, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolUNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduated 2008 (18 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

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