NPIMap

Individual provider Active NPI

Hiren C Shah, M.D.

  • Family Medicine Physician
  • Yorba Linda, CA
National Provider Identifier
1578664934
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A42703 Issued in CA
Practice address
19713 Yorba Linda Blvd
Suite#54
Yorba Linda, CA 92886-3532
Phone
(626) 810-3330
Fax
(626) 964-0440
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A42703 CA Primary
Nephrology Physician 207RN0300X A42703 CA

Addresses

Primary practice location

19713 Yorba Linda Blvd
Suite#54
Yorba Linda, CA 92886-3532

Mailing address

19713 Yorba Linda Blvd
Suite#54
Yorba Linda, CA 92886-3532
Phone (626) 810-3330

Other identifiers 1

IdentifierTypeStateIssuer
00A427030MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070323000221 CA Practitioner - Internal MedicinePractitioner - Nephrology 5092819573 Reassigns benefits to 1 organization
Practice locations: La Puente, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

18335 E Valley Blvd
La Puente, CA 91744-5968
Phone (626) 810-3330

Hospital & facility affiliations

  • Advanced Dialysis Center Dialysis facility, Baldwin Park, CA, CCN 552501
  • Onoria Health Care Provider Inc Home Health and Ho Home health agency, Montclair, CA, CCN 059482
  • Emanate Health Inter-Community Hospital Hospital, Covina, CA, CCN 050382
  • Emanate Health Foothill Presbyterian Hospital Hospital, Glendora, CA, CCN 050597

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A42703CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shanti Prakash Inc Current Accepting new patients
San Dimas Community Hospital, Inc. Past Accepting new patients
Emanate Health Foothill Presbyterian Hospital Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients
Dr Beena Shah MD Inc Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: hirenshah@lpvmg.allscriptsdirect.net

Organizations & group practices 8

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1578664934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19713 YORBA LINDA BLVD",
            "address_2": "SUITE#54",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928863532",
            "telephone_number": "626-810-3330",
            "fax_number": "626-964-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19713 YORBA LINDA BLVD",
            "address_2": "SUITE#54",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928863532",
            "telephone_number": "626-810-3330",
            "fax_number": "626-964-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "HIREN",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A42703",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A42703",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A427030",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorba Linda, CA

Sources for this page

Verify at the official NPI Registry.