Organization Active NPI

Harshad R Shah., M.D. Inc

  • Cardiovascular Disease Physician
  • Huntington Beach, CA
National Provider Identifier
1588916985
Registry record updated Nov 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A38627 Issued in CA
Legal business name
HARSHAD R SHAH., M.D. INC
Practice address
17822 Beach Blvd Ste 218
Huntington Beach, CA 92647-7191
Phone
(714) 847-2576
Fax
(714) 842-2593
NPI assigned
Oct 9, 2012
Organization subpart
Yes
Parent organization
HARSHAD R SHAH. M.D.INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 12, 2012

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

Authorized official

Name
Harshad R Shah, M.D.
Title
President
Phone
(714) 847-2576

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X A38627 CA Primary

Addresses

Primary practice location

17822 Beach Blvd Ste 218
Huntington Beach, CA 92647-7191

Mailing address

17822 Beach Blved, Suite 218
Huntington Beach, CA 92647-7191
Phone (714) 847-2576

National Provider Directory

National Provider Directory
Part of
Harshad Shah MD

Locations

17822 Beach Blvd
Ste 218
Huntington Beach, CA 92647
Phone (714) 847-2576

NPI Registry JSON

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

{
    "created_epoch": "1349740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352678400000",
    "number": "1588916985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17822 BEACH BLVED, SUITE 218",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926477191",
            "telephone_number": "714-847-2576",
            "fax_number": "714-842-2593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17822 BEACH BLVD STE 218",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926477191",
            "telephone_number": "714-847-2576",
            "fax_number": "714-842-2593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARSHAD R SHAH., M.D. INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HARSHAD R SHAH. M.D.INC",
        "enumeration_date": "2012-10-09",
        "last_updated": "2012-11-12",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "HARSHAD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-847-2576",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A38627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2012; 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.