Individual provider Active NPI

Supreet Shah, DC

  • Chiropractor
  • San Francisco, CA
National Provider Identifier
1487060596
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
32975 Issued in CA
Practice address
150 Lombard St Ste 2
San Francisco, CA 94111-1169
Phone
(415) 421-1115
Fax
(415) 421-1116
NPI assigned
Jul 9, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 32975 CA Primary

Addresses

Primary practice location

150 Lombard St Ste 2
San Francisco, CA 94111-1169

Mailing address

150 Lombard St Ste 2
San Francisco, CA 94111-1169
Phone (415) 421-1115

Other practice location 1

Three Embarcadero Center
Lobby Level
San Francisco, CA 94111
Phone (415) 495-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

150 Lombard St
Suite 2
San Francisco, CA 94111-1131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32975CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
SS Integrative Medical Services Inc Chiropractor CurrentSince Jul 24, 2022 Accepting new patients

Locations

50 Francisco St
Ste 257
San Francisco, CA 94133
Phone (415) 915-4211

150 Lombard St
Ste 2
San Francisco, CA 94111
Phone (415) 421-1115

Organizations & group practices 1

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": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1487060596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 LOMBARD ST STE 2",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941111169",
            "telephone_number": "415-421-1115",
            "fax_number": "415-421-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 LOMBARD ST STE 2",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941111169",
            "telephone_number": "415-421-1115",
            "fax_number": "415-421-1116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Three Embarcadero Center",
            "address_2": "Lobby Level",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "94111",
            "country_code": "US",
            "telephone_number": "415-495-2225",
            "fax_number": "415-494-2228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SUPREET",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-09",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.