Individual provider Active NPI

Shanthi Chezian, MD

  • Psychiatry Physician
  • Indio, CA
National Provider Identifier
1114981735
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A84488 Issued in CA
Practice address
47825 Oasis St
Indio, CA 92201-6950
Phone
(760) 863-8455
NPI assigned
Apr 12, 2006
Last updated
Oct 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25MA07675000 NJ
Psychiatry Physician 2084P0800X A84488 CA Primary

Addresses

Primary practice location

47825 Oasis St
Indio, CA 92201-6950

Mailing address

23 Central Square Park
Metuchen, NJ 08840-1873
Phone (732) 343-5348

Other practice location 1

2751 Napa Valley Corporate Dr Bldg A
Napa, CA 94558-6216
Phone (707) 253-4279

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181220001773 CA Practitioner - Psychiatry 1052350253 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of MontereyGroup PAC ID 2466345632, 186 clinicians

Practice addresses (Care Compare)

1441 Constitution Blvd
Suite 202
Salinas, CA 93906-3127
Phone (831) 769-1700

359 Gabilan Dr
Soledad, CA 93960-3550
Phone (831) 769-8740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A84488CAMDPsychiatry Physician
25MA07675000NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara CurrentSince Oct 3, 2018 Accepting new patients
County of Napa CurrentSince Feb 7, 2022 Accepting new patients
Napa County CurrentSince Feb 7, 2022 Accepting new patients
County of Santa Clara CurrentSince Oct 3, 2018 Accepting new patients
County of Santa Clara CurrentSince Nov 1, 2018 Accepting new patients
County of Santa Clara Current Accepting new patients
County of Monterey Behavioral Health CurrentSince Nov 12, 2025 Accepting new patients
County of Santa Clara CurrentSince Oct 3, 2018 Accepting new patients

Locations

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

2751 Napa Valley Corporate Dr
Bldg A
Napa, CA 94558
Phone (707) 253-4279

2751 Napa Valley Corporate Dr
Bldg B
Napa, CA 94558
Phone (707) 227-3880

1441 Constitution Blvd
Ste 202
Salinas, CA 93906
Phone (831) 796-1700

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846

2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

Interoperability endpoints

  • Direct secure messaging: shanthi.chezian@direct.hackensackmeridian.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1114981735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 CENTRAL SQUARE PARK",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088401873",
            "telephone_number": "732-343-5348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47825 OASIS ST",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922016950",
            "telephone_number": "760-863-8455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2751 Napa Valley Corporate Dr Bldg A",
            "address_purpose": "LOCATION",
            "city": "Napa",
            "state": "CA",
            "postal_code": "945586216",
            "country_code": "US",
            "telephone_number": "707-253-4279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEZIAN",
        "first_name": "SHANTHI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-12",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA07675000",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A84488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indio, CA

Sources for this page

Verify at the official NPI Registry.