Shashank Gopal Agarwal, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A150865 Issued in CA

Practice address

2100 Peabody Rd
Vacaville, CA 95687-6639

Phone

(707) 451-0182

NPI assigned

Jul 14, 2014

Sex

Male

Sole proprietor

Yes

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.

• Corrections and Rehabilitation-Headquarters

  • Pharmacy
  • Vacaville, CA
  • NPI 1124648712
  NPD
• State of California Prison Industry Authority

  • Eyewear Supplier
  • Vacaville, CA
  • NPI 1588871669
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 27, 2019.

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1396152104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 PEABODY RD",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956876639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 PEABODY RD",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956876639",
            "telephone_number": "707-451-0182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGARWAL",
        "first_name": "SHASHANK GOPAL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-14",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A150865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Adler
• Celeanna Adsuara
• Advanced Multi Specialty Medical Group
• Mona Afshar
• Aqlima Afzali
• Isaac Agbettor, BA
• Ages Learning Solutions
• Imani Margarira Aguiar-Garcia
• Rosaura Iveth Aguilar, BCBA
• Cristina Aguilera

• All providers in Vacaville, CA
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.