Active NPI
Purvi Shah, M.S.,R.D
- Registered Dietitian
- Fremont, CA
National Provider Identifier
1265690713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 958780
- Practice address
- 2000 Walnut Ave
Apt # U-203
Fremont, CA 94538-5315 - Phone
- (408) 802-6684
- NPI assigned
- May 30, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 958780 | CA | Primary |
Addresses
Primary practice location
2000 Walnut Ave
Apt # U-203
Fremont, CA 94538-5315
Mailing address
2000 Walnut Ave
Apt # U-203
Fremont, CA 94538-5315
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 958780 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212105600000",
"number": "1265690713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 WALNUT AVE",
"address_2": "APT # U-203",
"city": "FREMONT",
"state": "CA",
"postal_code": "945385315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 WALNUT AVE",
"address_2": "APT # U-203",
"city": "FREMONT",
"state": "CA",
"postal_code": "945385315",
"telephone_number": "408-802-6684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "PURVI",
"credential": "M.S.,R.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-30",
"last_updated": "2008-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "958780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.