Individual provider Active NPI

Kalyani Kalpen Shah, LCSW

  • Clinical Social Worker
  • Santa Clara, CA
National Provider Identifier
1457688822
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW59892 Issued in CA
Practice address
5201 Great America Pkwy
Santa Clara, CA 95054-1122
Phone
(341) 249-6336
NPI assigned
Nov 5, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW59892 CA Primary

Addresses

Primary practice location

5201 Great America Pkwy
Santa Clara, CA 95054-1122

Mailing address

32108 Alvarado Blvd PMB 189
Union City, CA 94587-4000
Phone (341) 249-6336

Other practice location 1

32108 Alvarado Blvd PMB 189
Union City, CA 94587-4000
Phone (341) 249-6336

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200526002234 CA Practitioner - Clinical Social Worker 0941621171 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Davis Street Community Center IncorporatedGroup PAC ID 6800956079, 11 clinicians

Practice addresses (Care Compare)

3081 Teagarden St
San Leandro, CA 94577-5720
Phone (510) 347-4620

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW59892CAMDClinical Social Worker
59892CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Native American Health Center, Inc CurrentSince Aug 19, 2023 Accepting new patients
Native American Health Center, Inc CurrentSince Aug 19, 2023 Accepting new patients
The Davis Street Community Center Incorporated CurrentSince Dec 1, 2025 Accepting new patients
Native American Health Center, Inc Current Accepting new patients
Felton Institute Past Accepting new patients

Locations

2920 International Blvd
Oakland, CA 94601
Phone (510) 485-5903

3124 International Blvd
#2D
Oakland, CA 94601

2950 International Blvd
Oakland, CA 94601
Phone (510) 485-5948

160 Capp St
San Francisco, CA 94110
Phone (415) 417-3500

3081 Teagarden St
San Leandro, CA 94577
Phone (510) 347-4620

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9743/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1257379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1457688822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32108 ALVARADO BLVD PMB 189",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945874000",
            "telephone_number": "341-249-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 GREAT AMERICA PKWY",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950541122",
            "telephone_number": "341-249-6336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32108 Alvarado Blvd PMB 189",
            "address_purpose": "LOCATION",
            "city": "Union City",
            "state": "CA",
            "postal_code": "945874000",
            "country_code": "US",
            "telephone_number": "341-249-6336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "KALYANI",
        "middle_name": "KALPEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-05",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW59892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

Verify at the official NPI Registry.