Organization Active NPI

Kandarp K. Shah, M.D., Inc

Doing business as Valley Gastroenterology Group

  • Internal Medicine Physician
  • Visalia, CA
National Provider Identifier
1114102969
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
KANDARP K. SHAH, M.D., INC
Doing business as
Valley Gastroenterology Group
Practice address
518 N Court St Ste B
Visalia, CA 93291-4920
Phone
(559) 625-9100
NPI assigned
Dec 28, 2007
Last updated
Nov 6, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

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

Authorized official

Name
Dr. Kandarp K Shah, M.D.
Title
President
Phone
(559) 625-9100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary
Gastroenterology Physician 207RG0100X NU

Addresses

Primary practice location

518 N Court St Ste B
Visalia, CA 93291-4920

Mailing address

6569 N Riverside Dr # 102504
Fresno, CA 93722-9318
Phone (559) 625-9100

Other practice location 1

6335 N Fresno St Ste 102
Fresno, CA 93710-5272
Phone (559) 412-5955

Other names 1

  • Valley Gastroenterology Group Doing business as

National Provider Directory

National Provider Directory

Locations

684 N Medical Center Dr E
Ste 106
Clovis, CA 93611
Phone (559) 299-9000

6335 N Fresno St
Ste 102
Fresno, CA 93710
Phone (559) 412-5955

501 S Watson St
Visalia, CA 93277
Phone (559) 625-9100

518 N Court St
Ste B
Visalia, CA 93291
Phone (559) 625-9100

NPI Registry JSON

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572998400000",
    "number": "1114102969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6569 N RIVERSIDE DR # 102504",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937229318",
            "telephone_number": "559-625-9100",
            "fax_number": "559-625-9103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 N COURT ST STE B",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932914920",
            "telephone_number": "559-625-9100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6335 N Fresno St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937105272",
            "country_code": "US",
            "telephone_number": "559-412-5955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KANDARP K. SHAH, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2019-11-06",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "KANDARP",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-625-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Gastroenterology Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; 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.