Individual provider Active NPI

Shahnaz Otanian, P.A.-C

  • Physician Assistant
  • Salinas, CA
National Provider Identifier
1235211459
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA15255 Issued in CA
Practice address
1328 Natividad Rd
Salinas, CA 93906-3101
Phone
(831) 757-8081
NPI assigned
Oct 19, 2006
Last updated
Jan 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA 15255 CA
Physician Assistant 363A00000X PA15255 CA Primary

Addresses

Primary practice location

1328 Natividad Rd
Salinas, CA 93906-3101

Mailing address

100 Wilson Rd Ste 100
Monterey, CA 93940-7885
Phone (831) 649-1000

Other practice location 1

355 Abbott St Ste 100
Salinas, CA 93901-4484
Phone (831) 751-7070

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040318000630 CA Practitioner - Physician Assistant 2769372192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Svmhs ClinicsGroup PAC ID 1456592351, 258 clinicians

Practice addresses (Care Compare)

1033 Los Palos Dr
Salinas, CA 93901-3916
Phone (831) 757-2058

1328 Natividad Rd
Salinas, CA 93906-3101
Phone (831) 757-8081

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
15255CAMDProfessional Counselor
PA 15255CAMDPhysician Assistant
PA15255CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Svmhs Clinics CurrentSince Aug 8, 2022 Accepting new patients
Lancelot O Alexander MD a Medical Corporation Past Accepting new patients
Terry L Franklin M.D. PastSince Apr 1, 2010 Accepting new patients

Locations

100 Wilson Rd
Ste 100
Monterey, CA 93940
Phone (831) 242-8301

1033 Los Palos Dr
Salinas, CA 93901
Phone (831) 424-2866

1328 Natividad Rd
Salinas, CA 93906
Phone (831) 757-8081

355 Abbott St
Ste 100
Salinas, CA 93901
Phone (831) 751-7070

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2721/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sotanian17209@direct.svmh.com

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1235211459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WILSON RD STE 100",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939407885",
            "telephone_number": "831-649-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 NATIVIDAD RD",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939063101",
            "telephone_number": "831-757-8081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "355 Abbott St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Salinas",
            "state": "CA",
            "postal_code": "939014484",
            "country_code": "US",
            "telephone_number": "831-751-7070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTANIAN",
        "first_name": "SHAHNAZ",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA 15255",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA15255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.