Individual provider Active NPI

Shareh O Ghani, MD

  • Psychiatry Physician
  • Fremont, CA
National Provider Identifier
1366520488
Registry record updated Jan 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C133769 Issued in CA
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

Updated by the provider on Jan 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
790479MedicaidAZ
C133769OtherCAMEDICARE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200904001718 CA Practitioner - Psychiatry 5294725735 Reassigns benefits to 1 organization

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
Ocean Psychiatry IncGroup PAC ID 6305277633, 15 clinicians

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

LicenseStateTypeSpecialty
31583AZMDPsychiatry Physician
C133769CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean Psychological Services, Inc. CurrentSince Nov 16, 2021 Accepting new patients
Ocean Psychiatry Inc Psychiatry CurrentSince Dec 21, 2018 Accepting new patients
Magellan Health Services of Arizona, Inc Past Accepting new patients
Uptown Psychiatry PLLC Psychiatry PastSince Feb 14, 2021 Accepting new patients
Vo of Arizona, Inc. Past Accepting new patients
Uptown Psychiatry LLC Past Accepting new patients
Magellan Healthcare, Inc. PastSince May 16, 2021 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.

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

Verify at the official NPI Registry.