Shake Health Inc

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

SHAKE HEALTH INC

Practice address

412 Madison Dr
San Jose, CA 95123-5025

Phone

(714) 913-0801

NPI assigned

Mar 16, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Shayna PatelNPI 1265905947

Title

Owner

Phone

(714) 913-0801

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shayna Patel, PA-C

  • Orthopaedic Surgery Physician
  • Cupertino, CA
  • NPI 1265905947
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1678924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1104527084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 MADISON DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951235025",
            "telephone_number": "714-913-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 MADISON DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951235025",
            "telephone_number": "714-913-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAKE HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-16",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-06",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SHAYNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-913-0801",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN'S ASSISTANT",
            "identifier": "57902",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shahram Ameripour DDS Inc.
• Fardis Shahrivar, MD
• Asfia Zeena Shaihu
• Nikhat Fathima Shaik, M.D.,
• Numaan Shaikh
• Kimia Shakerpoor, DC
• Khusro Naz Shakir
• Saad Adnan Shakir, M.D.
• Shaktee Technologies, Inc
• Shaku Nagpal, MD a Medical Corporation

• Orthopaedic Surgery Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.