Vivek Shah MD PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

VIVEK SHAH MD PLLC

Doing business as

28th Ave Medical

Practice address

2802 W Nob Hill Blvd # a
Yakima, WA 98902-4982

Phone

(509) 576-0600

Fax

(509) 576-0602

NPI assigned

Jun 26, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vivek Shah, M.D.

Title

The Doctor

Phone

(509) 576-0600

Specialties & licenses 1

Addresses

Other names 1

• 28th Ave Medical Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hannah Espitia

  • General Practice Dentistry
  • Yakima, WA
  • NPI 1013564418
  NPD (past)
• Nomita Mehta, DDS

  • Dentist
  • Yakima, WA
  • NPI 1316994510
  NPD (past)

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336176619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2802 W NOB HILL BLVD # A",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989024982",
            "telephone_number": "509-576-0600",
            "fax_number": "509-576-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 W NOB HILL BLVD # A",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989024982",
            "telephone_number": "509-576-0600",
            "fax_number": "509-576-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVEK SHAH MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "VIVEK",
        "authorized_official_title_or_position": "THE DOCTOR",
        "authorized_official_telephone_number": "509-576-0600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "28th Ave Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vanessa Violeta
• Josephine Virgen, CM 60705971
• Mariah E Visco, AAC CG61589288
• Vision for Independence Center
• Corie Ann Vitkovic, D.M.D
• Thu Huong Thi Vo, PHARM.D
• Dane Aaron Voelker, PT, DPT
• Brandy Deanne Voight, DPH
• Sarah Voline, ARNP
• Jeffery Alan Volkman, SUDPT

• Primary Care Clinic/Center in Yakima, WA
• Providers in Yakima, WA by specialty
• Primary Care Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.