Individual provider Active NPI

Parisa Shahi, DDS, FACP

  • Prosthodontics
  • Daly City, CA
National Provider Identifier
1073909115
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
63267 Issued in CA
Practice address
455 Hickey Blvd Ste 403
Daly City, CA 94015-2630
Phone
(650) 997-3266
Fax
(650) 997-3569
NPI assigned
Apr 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 63267 CA Primary

Addresses

Primary practice location

455 Hickey Blvd Ste 403
Daly City, CA 94015-2630

Mailing address

1655 The Alameda
San Jose, CA 95126-2203
Phone (408) 516-4050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210126002196 CA Order and Referring Only - DentistPractitioner - Dentist 3577977974

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
63267CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
George M. Yellich, DDS, Ms & Joseph a. Sands, Jr., DDS, Dental Corp Prosthodontics Past Accepting new patients

Organizations & group practices 1

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": "1429056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1073909115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 THE ALAMEDA",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262203",
            "telephone_number": "408-516-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 HICKEY BLVD STE 403",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152630",
            "telephone_number": "650-997-3266",
            "fax_number": "650-997-3569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHI",
        "first_name": "PARISA",
        "name_prefix": "Dr.",
        "credential": "DDS, FACP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-15",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "63267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daly City, CA

Sources for this page

Verify at the official NPI Registry.