Rupal B, Shah, MD., Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A51553 Issued in CA

Legal business name

RUPAL B, SHAH, MD., INC

Practice address

770 Magnolia Ave Ste 1K
Corona, CA 92879-3122

Phone

(951) 738-0303

NPI assigned

Jul 5, 2008

Organization subpart

No

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

Authorized official

Name

Rupal B Shah, MDNPI 1396730560

Title

Owner

Phone

(951) 735-0303

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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 3

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

• Rupal B Shah, MD

  • Family Medicine Physician
  • Corona, CA
  • NPI 1396730560
  Medicare reassignment Care Compare group NPD Authorized official
• Stephanie Jamie Changchien, M.D.

  • Family Medicine Physician
  • Corona, CA
  • NPI 1205061835
  Medicare reassignment Care Compare group NPD
• Wendell E Wettstein, MD

  • General Practice Physician
  • Victorville, CA
  • NPI 1871551564
  NPD (past)

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

{
    "created_epoch": "1215216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215216000000",
    "number": "1144483611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 MAGNOLIA AVE STE 1K",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793122",
            "telephone_number": "951-738-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 MAGNOLIA AVE STE 1K",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793122",
            "telephone_number": "951-738-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUPAL B, SHAH, MD., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-05",
        "last_updated": "2008-07-05",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "RUPAL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-735-0303",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A51553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Ruiz
• Natalie Ruiz
• Raymond Phillip Ruiz, PT, DPT
• Sarah Ruiz
• Shannon Ruiz
• Venise Loraine Russ
• Susanne Rose Russo
• Josefine Ruvalcaba
• Abbigail Grace Ruzicka
• Brett Ryan

• Family Medicine Physician in Corona, CA
• Providers in Corona, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2008; 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.