Active NPI
Shareh O Ghani, MD
- Psychiatry Physician
- Fremont, CA
National Provider Identifier
1366520488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- C133769
- Practice address
- 39210 State St Ste 100
Fremont, CA 94538-1456 - Phone
- (510) 451-2000
- Fax
- (510) 447-4808
- NPI assigned
- Nov 2, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 31583 | AZ | |
| Psychiatry Physician | 2084P0800X | C133769 | CA | Primary |
Addresses
Primary practice location
39210 State St Ste 100
Fremont, CA 94538-1456
Mailing address
39210 State St Ste 100
Fremont, CA 94538-1456
Phone (510) 451-2000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 790479 | Medicaid | AZ | |
| C133769 | Other | CA | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
39210 State St
Fremont, CA 94538-1456
Phone (510) 451-2000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31583 | AZ | MD | Psychiatry Physician |
| C133769 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ocean Psychological Services, Inc. | Current | Accepting new patients | |
| Ocean Psychiatry Inc | Psychiatry | Current | Accepting new patients |
| Magellan Health Services of Arizona, Inc | Past | Accepting new patients | |
| Uptown Psychiatry PLLC | Psychiatry | Past | Accepting new patients |
| Vo of Arizona, Inc. | Past | Accepting new patients | |
| Uptown Psychiatry LLC | Past | Accepting new patients | |
| Magellan Healthcare, Inc. | Past | Accepting new patients | |
| Vo of Arizona, Inc. | Past | Accepting new patients | |
| Magellan Health Services | Past | Accepting new patients |
Locations
39180 Liberty St
Ste 205
Fremont, CA 94538
Phone (510) 439-0657
39210 State St
Ste 100
Fremont, CA 94538
Phone (510) 399-7080
Organizations & group practices 9
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.
-
- Psychiatry Physician
- Fremont, CA
- NPI 1396306338
-
- Behavior Analyst
- Fremont, CA
- NPI 1932865029
-
- Health Maintenance Organization
- Maryland Heights, MO
- NPI 1679670376
-
- Case Management Agency
- Gilbert, AZ
- NPI 1194965145
-
- Community/Behavioral Health Agency
- Maryland Heights, MO
- NPI 1245814458
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Phoenix, AZ
- NPI 1922569805
-
- Psychiatry Physician
- Phoenix, AZ
- NPI 1447842505
-
- Clinical Medical Laboratory
- Glendale, AZ
- NPI 1447458682
-
- Case Management Agency
- Phoenix, AZ
- NPI 1730139593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767225600000",
"number": "1366520488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39210 STATE ST STE 100",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381456",
"telephone_number": "510-451-2000",
"fax_number": "510-447-4808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39210 STATE ST STE 100",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381456",
"telephone_number": "510-451-2000",
"fax_number": "510-447-4808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHANI",
"first_name": "SHAREH",
"middle_name": "O",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2026-01-01",
"certification_date": "2026-01-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AZ",
"license": "31583",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "C133769",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "790479",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "C133769",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.