Active NPI
Raha Shaw, M.D.
- Pediatrics Physician
- Carlsbad, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A99227
- Practice address
- 2176 Salk Ave Ste 200
Carlsbad, CA 92008-7346 - Phone
- (760) 827-7400
- NPI assigned
- Jun 5, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A99227 | CA | Primary |
Addresses
Primary practice location
2176 Salk Ave Ste 200
Carlsbad, CA 92008-7346
Mailing address
10790 Rancho Bernardo Rd
San Diego, CA 92127-5705
Phone (858) 927-5527
Other practice location 1
3811 Valley Centre Dr
San Diego, CA 92130-3318
Phone (858) 764-3000
Other practice location 2
354 Santa Fe Dr
Encinitas, CA 92024-5142
Phone (760) 827-7400
Other names 1
- Raha Esmaeili-Tehrani
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A99227 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health | Current | Accepting new patients | |
| Coast Pediatrics del Mar | Pediatrics | Past | Accepting new patients |
| Scripps Clinic Medical Group | Past | Accepting new patients | |
| Scripps Clinic Medical Group, Inc | Past | Accepting new patients |
Locations
10790 Rancho Bernardo Rd
San Diego, CA 92127
Phone (858) 554-2626
Interoperability endpoints
- rshaw19154@scrippshlth.medalliesdirect.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Scripps Hospital Medical Services
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- Pediatrics Physician
- Del Mar, CA
- NPI 1497013627
-
- Multi-Specialty Clinic/Center
- San Diego, CA
- NPI 1124003280
-
dba Scripps Proton Therapy Center
- Radiation Oncology Physician
- San Diego, CA
- NPI 1073853180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656633600000",
"number": "1366644882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10790 RANCHO BERNARDO RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921275705",
"telephone_number": "858-927-5527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2176 SALK AVE STE 200",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920087346",
"telephone_number": "760-827-7400"
}
],
"practiceLocations": [
{
"address_1": "3811 Valley Centre Dr",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921303318",
"country_code": "US",
"telephone_number": "858-764-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "354 Santa Fe Dr",
"address_purpose": "LOCATION",
"city": "Encinitas",
"state": "CA",
"postal_code": "920245142",
"country_code": "US",
"telephone_number": "760-827-7400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAW",
"first_name": "RAHA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-05",
"last_updated": "2022-07-01",
"certification_date": "2022-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A99227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RAHA",
"last_name": "ESMAEILI-TEHRANI",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Carlsbad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.