Manpreet Kaur Sheabat, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

61099 Issued in CA

Practice address

2401 E Orangeburg Ave Ste 330
Modesto, CA 95355-3396

Phone

(209) 726-7381

NPI assigned

Mar 9, 2015

Reactivated

Dec 18, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, CA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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

• Legacy Healthcare Services Inc.

  • Physical Therapist
  • Cedar Park, TX
  • NPI 1871132357
  Medicare reassignment NPD
• Escalon Physical Medicine, Inc

  dba Modesto Physical Medicine

  • Family Medicine Physician
  • Modesto, CA
  • NPI 1821417866
  Medicare reassignment
• Golden Valley Health Centers

  dba Golden Valley Health Centers-Central Valley PACE Modesto

  • PACE Provider Organization
  • Modesto, CA
  • NPI 1598302655
  NPD
• Legacy Healthcare Services Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1225879489
  NPD

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1033502505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 W CHILDS AVE",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953416805",
            "telephone_number": "866-682-4842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 E ORANGEBURG AVE STE 330",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953553396",
            "telephone_number": "209-726-7381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1165 S Stemmons Fwy Ste 264",
            "address_purpose": "LOCATION",
            "city": "Lewisville",
            "state": "TX",
            "postal_code": "750675374",
            "country_code": "US",
            "telephone_number": "206-371-4509",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "421 KNOEDLER RD,",
            "address_2": "APT 02",
            "address_purpose": "LOCATION",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15236",
            "country_code": "US",
            "telephone_number": "206-371-4509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEABAT",
        "first_name": "MANPREET",
        "middle_name": "KAUR",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-09",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "deactivation_date": "2015-06-02",
        "reactivation_date": "2015-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1256773",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "24376",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ND",
            "license": "PAC0910",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA15571",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "61099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah A Shassetz, D.O.
• Allisen Elaine Shaw, OTA
• Amy Shaw
• Destiny Shaw
• Michael P. Shaw, DDS
• Michael Shear
• David Sheckells
• Sheikh and Shelat DDS Inc
• Haseeb Nisar Sheikh
• Ahmad Idrees Shekaib, MD

• Physician Assistant in Modesto, CA
• Providers in Modesto, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.