Steven Shak, M.D

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

41962 Issued in CA

Practice address

301 Penobscot Dr
Redwood City, CA 94063-4700

Phone

(650) 569-2251

NPI assigned

Sep 29, 2014

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Genomic Health, Inc.

  • Clinical Medical Laboratory
  • Redwood City, CA
  • NPI 1215003603
  NPD (past)

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411948800000",
    "number": "1205239704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 PENOBSCOT DRIVE",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "94063",
            "telephone_number": "650-569-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 PENOBSCOT DR",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940634700",
            "telephone_number": "650-569-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAK",
        "first_name": "STEVEN",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-29",
        "last_updated": "2014-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "41962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Radhika Shah
• Roma Hitesh Shah, DO
• Sangita N. Shah, MD
• Varun B Shah
• Bita Shahrvini, MD
• Marjan Shakib-Saffari, DC
• Jad Maher Shami, DDS
• Rosaura E Shamieh
• Swati Shandilya, M.D.
• Jeffrey Michael Shapiro

• Clinical Medical Laboratory in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; 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.