Individual provider Active NPI

Arvind Sankalchand Shah, M.D.

  • Nephrology Physician
  • Bakersfield, CA
National Provider Identifier
1295734218
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A25766 Issued in CA
Practice address
620 34TH St
Bakersfield, CA 93301-2208
Phone
(661) 324-4721
Fax
(661) 324-2328
NPI assigned
Jul 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A25766 CA Primary

Addresses

Primary practice location

620 34TH St
Bakersfield, CA 93301-2208

Mailing address

620 34TH St
Bakersfield, CA 93301-2208
Phone (661) 324-4721

Other identifiers 1

IdentifierTypeStateIssuer
00A257660MedicaidCA

Other names 1

  • Dr. Arvind Ssnkalchand Shah Former name

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25766CAMDChiropractor
A25766CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kern Nephrology Medical Group Nephrology PastSince Apr 1, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: asm106pcs@m1636.primeclinicalsystems.direct-ci.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194998400000",
    "number": "1295734218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 34TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012208",
            "telephone_number": "661-324-4721",
            "fax_number": "661-324-2328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 34TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012208",
            "telephone_number": "661-324-4721",
            "fax_number": "661-324-2328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "ARVIND",
        "middle_name": "SANKALCHAND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2007-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A25766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A257660",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARVIND",
            "last_name": "SHAH",
            "middle_name": "SSNKALCHAND",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.