NPIMap

Individual provider Active NPI

Shashwati Sharad Kale, M.D.

  • Family Medicine Physician
  • San Jose, CA
National Provider Identifier
1306944459
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A067291 Issued in CA
Practice address
2690 S White Rd
Suite #200
San Jose, CA 95148-2076
Phone
(408) 223-8228
Fax
(408) 223-8338
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A067291 CA Primary

Addresses

Primary practice location

2690 S White Rd
Suite #200
San Jose, CA 95148-2076

Mailing address

2690 S White Rd
Suite #200
San Jose, CA 95148-2076
Phone (408) 223-8228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061222000253 CA Practitioner - Family Practice 7810997871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2690 S White Rd
San Jose, CA 95148-2077
Phone (408) 223-8228

Hospital & facility affiliations

  • Good Samaritan Hospital Hospital, San Jose, CA, CCN 050380
  • Stanford Health Care Hospital, Stanford, CA, CCN 050441

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A067291CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Offices of Shashwati.S.Kale Family Medicine CurrentSince Oct 1, 2006 Accepting new patients
El Camino Hospital Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
El Camino Health Medical Network, LLC Past Accepting new patients
County of Santa Clara Past Accepting new patients

Locations

2690 S White Rd
Ste 200
San Jose, CA 95148
Phone (408) 223-7771

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JFDABA/Endpoint/JFDABA

Organizations & group practices 5

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 8

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306944459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2690 S WHITE RD",
            "address_2": "SUITE #200",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951482076",
            "telephone_number": "408-223-8228",
            "fax_number": "408-223-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2690 S WHITE RD",
            "address_2": "SUITE #200",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951482076",
            "telephone_number": "408-223-8228",
            "fax_number": "408-223-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALE",
        "first_name": "SHASHWATI",
        "middle_name": "SHARAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A067291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.