Sarita Shah, MD, PHD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A163913 Issued in CA

Practice address

5060 Shoreham PL Ste 100
San Diego, CA 92122-5904

Phone

(210) 386-3614

Fax

(949) 703-7489

NPI assigned

Apr 6, 2018

Last updated

Dec 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Previously, effective Oct 17, 2024 through Oct 17, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1265939235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5060 SHOREHAM PL STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921225904",
            "telephone_number": "210-386-3614",
            "fax_number": "949-703-7489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5060 SHOREHAM PL STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921225904",
            "telephone_number": "210-386-3614",
            "fax_number": "949-703-7489"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Arbor Drive 0851",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "92103",
            "country_code": "US",
            "telephone_number": "619-471-0209",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1828 E Cesar E Chavez Ave Ste 4500",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900332577",
            "country_code": "US",
            "telephone_number": "858-221-0344",
            "fax_number": "858-248-4262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SARITA",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-06",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A163913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nirja Shah
• Nisha Shah
• Rishita Shah, OT
• Ritesh Shah, D.D.S
• Samir S Shah, M.D.
• Seema D. Shah, M.D.
• Shailja Chandresh Shah, MD
• Shbeena Shah, DDS
• Shivani Pankaj Shah, PHARM.D., R.PH.
• Sunit Rajit Shah, DO

• Psychiatry Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.