Individual provider Active NPI

Bilal Mobashar Shafi, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Santa Cruz, CA
National Provider Identifier
1306923123
Registry record updated Jan 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
A92930 Issued in CA
Practice address
1575 Soquel Ave
Suite C
Santa Cruz, CA 95065-1816
Phone
(831) 458-6240
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A92930 CA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X MD436742 PA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X A92930 CA Primary

Addresses

Primary practice location

1575 Soquel Ave
Suite C
Santa Cruz, CA 95065-1816

Mailing address

2350 W. El Camino Real
2ND Floor
Mountain View, CA 94040-6203
Phone (831) 458-6288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140625000665 CA Practitioner - Thoracic SurgeryPractitioner - Internal MedicinePractitioner - General SurgeryPractitioner - Cardiac Surgery 8325173248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: General Surgery
Education
Jefferson Medical College of Thomas Jefferson University, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians

Practice addresses (Care Compare)

1501 Trousdale Dr
Burlingame, CA 94010-4506
Phone (650) 696-5400

1575 Soquel Dr
Santa Cruz, CA 95065-1700

1667 Dominican Way
Suite 230
Santa Cruz, CA 95065-1560
Phone (831) 458-6288

2400 Samaritan Dr
San Jose, CA 95124-3910

2425 Samaritan Dr
San Jose, CA 95124-3908
Phone (408) 559-2011

2441 Mission College Blvd
Santa Clara, CA 95054-1214
Phone (800) 478-8837

2900 Chanticleer Ave
Santa Cruz, CA 95065-1816

370 Distel Cir
Los Altos, CA 94022-1404
Phone (650) 254-5200

550 S Green Valley Rd
Watsonville, CA 95076-3053
Phone (831) 458-5865

795 El Camino Real
Palo Alto, CA 94301-2302
Phone (415) 600-1020

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)47
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD436742PAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation CurrentSince May 12, 2014 Accepting new patients
Sutter Bay Medical Foundation CurrentSince May 12, 2014 Accepting new patients
Colorado West Healthcare System Past Accepting new patients
El Camino Hospital Past Accepting new patients
Sutter East Bay Medical Foundation Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
Dignity Health Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
County of Santa Clara Past Accepting new patients
O'Connor Hospital Past Accepting new patients
Community Hospital of the Monterey Peninsula Past Accepting new patients

Locations

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200

2490 Hospital Dr
Ste 109
Mountain View, CA 94040
Phone (650) 404-8250

2350 W El Camino Real
Fl 2
Mountain View, CA 94040
Phone (650) 691-6174

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

795 El Camino Real
#1112
Palo Alto, CA 94301

290 Redwood Shores Pkwy
Redwood City, CA 94065
Phone (650) 598-3160

2581 Samaritan Dr
Ste 202
San Jose, CA 95124
Phone (408) 358-3939

2400 Samaritan Dr
Ste 203
San Jose, CA 95124
Phone (408) 369-5600

123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200

1575 Soquel Dr
Ste C
Santa Cruz, CA 95065
Phone (831) 458-6240

1667 Dominican Way
Ste 230
Santa Cruz, CA 95065
Phone (831) 458-6288

550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865

Interoperability endpoints

  • Direct secure messaging: bshafi204572@hisp.ehr.sutterhealth.org
  • Direct secure messaging: bshafi126006@santaclaravalley.direct-ci.net

Organizations & group practices 12

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420675200000",
    "number": "1306923123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 W. EL CAMINO REAL",
            "address_2": "2ND FLOOR",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940406203",
            "telephone_number": "831-458-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 SOQUEL AVE",
            "address_2": "SUITE C",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651816",
            "telephone_number": "831-458-6240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFI",
        "first_name": "BILAL",
        "middle_name": "MOBASHAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2015-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A92930",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "PA",
            "license": "MD436742",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "A92930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.