Individual provider Active NPI

Rashida Shah, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Riverside, CA
National Provider Identifier
1326821349
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95026565 Issued in CA
Practice address
4646 Brockton Ave Ste 101
Riverside, CA 92506-0103
Phone
(951) 774-2860
Fax
(951) 774-2861
NPI assigned
Aug 15, 2023
Last updated
Mar 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95026565 CA Primary

Addresses

Primary practice location

4646 Brockton Ave Ste 101
Riverside, CA 92506-0103

Mailing address

3062 Pinehurst Dr
Corona, CA 92881-0930
Phone (562) 572-9925

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
95026565CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Raincross Urgent Care, Inc. Current Accepting new patients

Locations

4646 Brockton Ave
Ste 101
Riverside, CA 92506
Phone (951) 774-2755

Interoperability endpoints

  • Direct secure messaging: rashida.shah.1@7542.direct.athenahealth.com
  • Direct secure messaging: rashida.shah@695428936433668.direct.elationemr.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1326821349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3062 PINEHURST DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928810930",
            "telephone_number": "562-572-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 BROCKTON AVE STE 101",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925060103",
            "telephone_number": "951-774-2860",
            "fax_number": "951-774-2861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "RASHIDA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-15",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95026565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; 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.