Organization Active NPI

Vinayak S. Shanbhag, M. D.

  • Psychiatry Physician
  • Orange, CA
National Provider Identifier
1578597597
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
VINAYAK S. SHANBHAG, M. D.
Practice address
810 W la Veta Ave
Orange, CA 92868-3918
Phone
(714) 532-6811
Fax
(714) 532-5487
NPI assigned
Jul 10, 2006
Last updated
Jul 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Authorized official

Name
Dr. Vinayak S Shanbhag, MDNPI 1194741330
Title
Owner
Phone
(714) 532-6811

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

810 W la Veta Ave
Orange, CA 92868-3918

Mailing address

810 W la Veta Ave
Orange, CA 92868-3918
Phone (714) 532-6811

Other identifiers 2

IdentifierTypeStateIssuer
00A341870MedicaidCA
1194741330OtherCANPI

National Provider Directory

National Provider Directory

Locations

810 W La Veta Ave
Orange, CA 92868
Phone (714) 532-6811

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1578597597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 W LA VETA AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683918",
            "telephone_number": "714-532-6811",
            "fax_number": "714-532-5487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 W LA VETA AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683918",
            "telephone_number": "714-532-6811",
            "fax_number": "714-532-5487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINAYAK S. SHANBHAG, M. D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "SHANBHAG",
        "authorized_official_first_name": "VINAYAK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-532-6811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A341870",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1194741330",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.

Verify at the official NPI Registry.