Active NPI
Kinnari Shah, PA-C
- Physician Assistant
- San Jose, CA
National Provider Identifier
1356986657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 57259
- Practice address
- 1680 E Capitol Expy Ste 10
San Jose, CA 95121-1839 - Phone
- (408) 645-7096
- NPI assigned
- Nov 10, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 57259 | CA | |
| Physician Assistant | 363A00000X | 57259 | CA | Primary |
Addresses
Primary practice location
1680 E Capitol Expy Ste 10
San Jose, CA 95121-1839
Mailing address
1299 Oakmead Pkwy
Sunnyvale, CA 94085-4040
Other practice location 1
333 1st St Ste A
San Francisco, CA 94105-2661
Phone (888) 803-3370
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
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Camino Health Medical Network, LLC | Past | Accepting new patients | |
| El Camino Hospital | Past | Accepting new patients | |
| County of Santa Clara | Past | Accepting new patients | |
| Action Urgent Care Inc | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/24970/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Urgent Care Clinic/Center
- San Jose, CA
- NPI 1205186442
-
- General Acute Care Hospital
- San Jose, CA
- NPI 1063406551
-
- Multi-Specialty Clinic/Center
- San Jose, CA
- NPI 1164880761
-
- General Acute Care Hospital
- Mountain View, CA
- NPI 1093712374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738195200000",
"number": "1356986657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1299 OAKMEAD PKWY",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940854040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1680 E CAPITOL EXPY STE 10",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951211839",
"telephone_number": "408-645-7096"
}
],
"practiceLocations": [
{
"address_1": "333 1st St Ste A",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941052661",
"country_code": "US",
"telephone_number": "888-803-3370",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAH",
"first_name": "KINNARI",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-10",
"last_updated": "2025-01-30",
"certification_date": "2025-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "57259",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "57259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.