Shanti Prakash Inc

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

SHANTI PRAKASH INC

Practice address

3932 Downing Ave
Baldwin Park, CA 91706

Phone

(626) 856-3333

Fax

(626) 856-3355

NPI assigned

Dec 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Hiren Shah, M.D.NPI 1578664934

Title

President

Phone

(626) 856-3333

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ADVANCED DIALYSIS CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Advanced Dialysis CenterCCN 552501

Overall star rating

1.0 of 5

Ownership

Profit

Certified

Mar 5, 2003

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

18

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Hiren C Shah, M.D.

  • Family Medicine Physician
  • Yorba Linda, CA
  • NPI 1578664934
  NPD Authorized official
• Madhu Sudan, MD

  • Nephrology Physician
  • Covina, CA
  • NPI 1679674923
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Hiren C Shah, M.D.

  • Family Medicine Physician
  • Yorba Linda, CA
  • NPI 1578664934

  Dialysis facility

  Care Compare affiliation Name & address match
• Madhu Sudan, MD

  • Nephrology Physician
  • Covina, CA
  • NPI 1679674923

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104986348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3932 DOWNING AVE",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "91706",
            "telephone_number": "626-856-3333",
            "fax_number": "626-856-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3932 DOWNING AVE",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "91706",
            "telephone_number": "626-856-3333",
            "fax_number": "626-856-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANTI PRAKASH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "HIREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-856-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CDC52501F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCED DIALYSIS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Preeti P. Shah, MD
• Rupal Shah, PHARMD.
• Shilpa Miniyar Shah, MD
• Shanabo Dental Corporation
• Shaza Shanabo, DDS
• Chris J Shean, MD
• Brian W.C. Shen, MD
• Mary E Sheridan, CNM
• Lilly Fong Shimabukuro, PHARM.D
• Brian Jai Shin, MD

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Baldwin Park, CA
• Providers in Baldwin Park, CA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.