Active NPI
Dr Beena Shah MD Inc
- Infectious Disease Physician
- Yorba Linda, CA
National Provider Identifier
1477767556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- A42702
- Legal business name
- DR BEENA SHAH MD INC
- Practice address
- 19713 Yorba Linda Blvd #54
Yorba Linda, CA 92886-2730 - Phone
- (714) 547-7008
- NPI assigned
- May 9, 2007
- Last updated
- Aug 7, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Beena Hiren Shah, MD
- Title
- President
- Phone
- (714) 547-7008
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | A42702 | CA | Primary |
Addresses
Primary practice location
19713 Yorba Linda Blvd #54
Yorba Linda, CA 92886-2730
Mailing address
19713 Yorba Linda Blvd #54
Yorba Linda, CA 92886-2730
Phone (714) 547-7008
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A427021 | Medicaid | CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Infectious Disease Physician
- Yorba Linda, CA
- NPI 1790795953
-
- Family Medicine Physician
- Yorba Linda, CA
- NPI 1578664934
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218067200000",
"number": "1477767556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19713 YORBA LINDA BLVD #54",
"city": "YORBA LINDA",
"state": "CA",
"postal_code": "928862730",
"telephone_number": "714-547-7008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19713 YORBA LINDA BLVD #54",
"city": "YORBA LINDA",
"state": "CA",
"postal_code": "928862730",
"telephone_number": "714-547-7008"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR BEENA SHAH MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-09",
"last_updated": "2008-08-07",
"status": "A",
"authorized_official_last_name": "SHAH",
"authorized_official_first_name": "BEENA",
"authorized_official_middle_name": "HIREN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-547-7008",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "CA",
"license": "A42702",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A427021",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yorba Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.