Tirath Shah, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A17092 Issued in CA

Practice address

380 W Central Ave Ste 400
Brea, CA 92821

Phone

(714) 203-1799

Fax

(714) 203-1716

NPI assigned

Dec 26, 2014

Last updated

Feb 28, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL, CA2 enrollments

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 2

Specialty

Osteopathic Manipulative Medicine

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern California Permanente Medical GroupGroup PAC ID 6002729175, 11,250 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tirath.shah.p1@direct.dvmg.nextgenshare.com

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.

• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Baldwin Park, CA
  • NPI 1770515280
  Medicare reassignment Care Compare group NPD
• First Choice Physician Partners

  dba Greater Modesto Medical Surgical Associates

  • Neurological Surgery Physician
  • Modesto, CA
  • NPI 1104183052
  Medicare reassignment NPD
• Fastcare LLC

  • Urgent Care Clinic/Center
  • Aventura, FL
  • NPI 1972525012
  Medicare reassignment NPD
• First Choice Physician Partners

  • Family Medicine Physician
  • Brea, CA
  • NPI 1417297847
  NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Santa Clarita, CA
  • NPI 1316409410
  NPD
• Southern California Permanente Medical Group

  dba Target Clinic Medical Associates of Southern California

  • Health Maintenance Organization
  • Fullerton, CA
  • NPI 1336556059
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1419552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1427446517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 W CENTRAL AVE STE 400",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928213066",
            "telephone_number": "714-203-1799",
            "fax_number": "714-203-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 W CENTRAL AVE STE 400",
            "city": "BREA",
            "state": "CA",
            "postal_code": "92821",
            "telephone_number": "714-203-1799",
            "fax_number": "714-203-1716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16671 Yorba Linda Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Yorba Linda",
            "state": "CA",
            "postal_code": "92886",
            "country_code": "US",
            "telephone_number": "714-985-6400",
            "fax_number": "714-985-6425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16671 Yorba Linda Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Yorba Linda",
            "state": "CA",
            "postal_code": "92886",
            "country_code": "US",
            "telephone_number": "714-985-6400",
            "fax_number": "714-985-6425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16671 Yorba Linda Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Yorba Linda",
            "state": "CA",
            "postal_code": "92886",
            "country_code": "US",
            "telephone_number": "714-985-6400",
            "fax_number": "714-985-6425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 NE 24th St Apt 1204",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331374879",
            "country_code": "US",
            "telephone_number": "714-606-6282",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16671 Yorba Linda Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Yorba Linda",
            "state": "CA",
            "postal_code": "92886",
            "country_code": "US",
            "telephone_number": "714-985-6400",
            "fax_number": "714-985-6425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "TIRATH",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-26",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS13052",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A17092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "441 N Lakeview Ave",
            "city": "Anaheim",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928073028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mahika Shah
• Rina Shah, PHARMD
• Sahil Shah, DO
• Samha Shah, REGISTERED NURSE
• Shraddha Shah, M.D
• Shangri-la Acupuncture
• Shangri-la Acupuncture and Herbal Clinic
• Sheena Bhatia, D.D.S., Inc.
• Leena Shehab
• Walter Scott Shew, D.D.S.

• Family Medicine Physician in Brea, CA
• Providers in Brea, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.

Verify at the official NPI Registry.