Active NPI
Nayan Shah MD, Inc.
- Surgery Physician
- Pomona, CA
National Provider Identifier
1639306210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A40253
- Legal business name
- NAYAN SHAH MD, INC.
- Practice address
- 1798 N Garey Ave
Pomona, CA 91767-2918 - Phone
- (909) 268-3899
- Fax
- (909) 598-8307
- NPI assigned
- Jun 22, 2009
- 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
- Dr. Nayan Shah, M.D.
- Title
- President
- Phone
- (909) 268-3899
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A40253 | CA | Primary |
Addresses
Primary practice location
1798 N Garey Ave
Pomona, CA 91767-2918
Mailing address
1142 S Diamond Bar Blvd
Suite 186
Diamond Bar, CA 91765-2203
Phone (909) 268-3899
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MEDICAL LICENSE | Other | CA | A40253 |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Obstetrics & Gynecology Physician
- Diamond Bar, CA
- NPI 1174631402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245628800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1245628800000",
"number": "1639306210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1142 S DIAMOND BAR BLVD",
"address_2": "SUITE 186",
"city": "DIAMOND BAR",
"state": "CA",
"postal_code": "917652203",
"telephone_number": "909-268-3899",
"fax_number": "909-598-8307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1798 N GAREY AVE",
"city": "POMONA",
"state": "CA",
"postal_code": "917672918",
"telephone_number": "909-268-3899",
"fax_number": "909-598-8307"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NAYAN SHAH MD, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-22",
"last_updated": "2009-06-22",
"status": "A",
"authorized_official_last_name": "SHAH",
"authorized_official_first_name": "NAYAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "909-268-3899",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "CA",
"license": "A40253",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "A40253",
"identifier": "MEDICAL LICENSE",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.