Organization Active NPI

Sanjay K. Shah, M.D., Incorporated

  • Clinic/Center
  • San Jose, CA
National Provider Identifier
1306240544
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
A995498 Issued in CA
Legal business name
SANJAY K. SHAH, M.D., INCORPORATED
Practice address
2585 Samaritan Dr
Ste. 303
San Jose, CA 95124-4107
Phone
(408) 358-3458
Fax
(408) 356-6191
NPI assigned
Oct 17, 2014
Last updated
Feb 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

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

Authorized official

Name
Sanjay K Shah, M.D.
Title
Physician
Phone
(408) 358-3458

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X A995498 CA Primary

Addresses

Primary practice location

2585 Samaritan Dr
Ste. 303
San Jose, CA 95124-4107

Mailing address

2585 Samaritan Dr
Ste. 303
San Jose, CA 95124-4107
Phone (408) 358-3458

Other identifiers 1

IdentifierTypeStateIssuer
1588876585OtherCAMEDICARE NPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424736000000",
    "number": "1306240544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2585 SAMARITAN DR",
            "address_2": "STE. 303",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244107",
            "telephone_number": "408-358-3458",
            "fax_number": "408-356-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2585 SAMARITAN DR",
            "address_2": "STE. 303",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244107",
            "telephone_number": "408-358-3458",
            "fax_number": "408-356-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANJAY K. SHAH, M.D., INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-17",
        "last_updated": "2015-02-24",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "408-358-3458",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A995498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NPI",
            "identifier": "1588876585",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; 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.