Active NPI
Shakhash Pall
- Behavior Analyst
- Antioch, CA
National Provider Identifier
1356825947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- F7237687
- Practice address
- 3100 Delta Fair Blvd
Antioch, CA 94509-4001 - Phone
- (925) 709-6060
- NPI assigned
- Sep 19, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | F7237687 | CA | Primary |
Addresses
Primary practice location
3100 Delta Fair Blvd
Antioch, CA 94509-4001
Mailing address
21600 Oxnard St
Woodland Hills, CA 91367-4976
Phone (818) 345-2345
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
| License | State | Type | Specialty |
|---|---|---|---|
| F7237687 | CA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537315200000",
"number": "1356825947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21600 OXNARD ST",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913674976",
"telephone_number": "818-345-2345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 DELTA FAIR BLVD",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "945094001",
"telephone_number": "925-709-6060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALL",
"first_name": "SHAKHASH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-19",
"last_updated": "2018-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "F7237687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Antioch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.