Chandrakant V Shah, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

C51128 Issued in CA

Practice address

1555 Vivaldi St
Cardiff by the Sea, CA 92007-2346

Phone

(760) 633-3044

Fax

(760) 633-3044

NPI assigned

Aug 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10731/brand/1/csg/1/fhir/r4

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.

• Home Physicians Medical Group, Inc.

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1770523169
  NPD (past)

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114939105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 VIVALDI ST",
            "city": "CARDIFF BY THE SEA",
            "state": "CA",
            "postal_code": "920072346",
            "telephone_number": "858-922-8354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 VIVALDI ST",
            "city": "CARDIFF BY THE SEA",
            "state": "CA",
            "postal_code": "920072346",
            "telephone_number": "760-633-3044",
            "fax_number": "760-633-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "CHANDRAKANT",
        "middle_name": "V",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "C51128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie Jean Rumble, MFT
• Victor Lincoln Ruterbusch, M.D.
• San Diego Institute of Psychotherapy Corp
• Jeffery Scott Schaefer, D.D.S., M.S.D.
• Martin Craig Schulman, M.D.
• Brook Sheehan, DC
• Adam Silberman, ND
• Wilhelmina Gerarda Van Daelen-Denen, PT
• Melissa Van Dyk, LCSW
• Sarita Vighne, DACM, L.AC

• Cardiovascular Disease Physician in Cardiff by the Sea, CA
• Providers in Cardiff by the Sea, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.