NPIMap

Individual provider Active NPI

Shakha V Gillin, MD

  • Pediatrics Physician
  • Del Mar, CA
National Provider Identifier
1013988435
Registry record updated Jun 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A070287 Issued in CA
Practice address
12845 Pointe del Mar
Suite 200
Del Mar, CA 92014
Phone
(858) 794-7337
Fax
(858) 794-7338
NPI assigned
Feb 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A070287 CA Primary

Addresses

Primary practice location

12845 Pointe del Mar
Suite 200
Del Mar, CA 92014

Mailing address

12845 Pointe del Mar
Suite 200
Del Mar, CA 92014
Phone (858) 794-7337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A070287CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
Scripps Health Past Accepting new patients
Coast Pediatrics 4S Pediatrics Past Accepting new patients
Coast Pediatrics del Mar Pediatrics Past Accepting new patients
Scripps Health Past Accepting new patients
Rady Children'S Hospital San Diego Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sgillin43347@scrippshlth.medalliesdirect.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340755200000",
    "number": "1013988435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12845 POINTE DEL MAR",
            "address_2": "SUITE 200",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "92014",
            "telephone_number": "858-794-7337",
            "fax_number": "858-794-7338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12845 POINTE DEL MAR",
            "address_2": "SUITE 200",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "92014",
            "telephone_number": "858-794-7337",
            "fax_number": "858-794-7338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIN",
        "first_name": "SHAKHA",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-01",
        "last_updated": "2012-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A070287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Del Mar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.