Shah Spine MD, Inc

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

Legal business name

SHAH SPINE MD, INC

Practice address

3501 Jamboree Rd Ste 1250
Newport Beach, CA 92660-2939

Phone

(949) 988-7800

NPI assigned

Nov 30, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Neel Pravin Shah, MD

Title

Orthopedic Surgeon

Phone

(949) 988-7800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606694400000",
    "number": "1235733213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 JAMBOREE RD STE 1250",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602939",
            "telephone_number": "949-988-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 JAMBOREE RD STE 1250",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602939",
            "telephone_number": "949-988-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAH SPINE MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "NEEL",
        "authorized_official_middle_name": "PRAVIN",
        "authorized_official_title_or_position": "ORTHOPEDIC SURGEON",
        "authorized_official_telephone_number": "949-988-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seyed Aliakbar Vahdati, DDS, MSD, Inc.
• Katherine Bohan Shachar, PH.D.
• Ashley Shade
• Shadi Aramesh MD Apc Inc
• Alexander Shadid Jr., MD
• Julie Anne Shah, FNP
• Meera Shah
• Pravin Shah, MD
• Samina Shah, DIETITIAN
• Sarah Shah

• Orthopaedic Surgery of the Spine Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Orthopaedic Surgery of the Spine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.