Individual provider Active NPI

Shaheen Zahir Shahpurwala

  • Speech-Language Pathologist
  • Oakland, CA
National Provider Identifier
1639946874
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP25756 Issued in CA
Practice address
150 4TH St Apt 334
Oakland, CA 94607-2128
Phone
(513) 370-1063
NPI assigned
Dec 7, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP25756 CA Primary

Addresses

Primary practice location

150 4TH St Apt 334
Oakland, CA 94607-2128

Mailing address

150 4TH St Apt 334
Oakland, CA 94607-2128

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240105000093 CA Practitioner - Qualified Speech Language Pathologist 3274984133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sand Coast Rehab Physical Therapy IncGroup PAC ID 7315352911, 131 clinicians

Practice addresses (Care Compare)

2801 Shadelands Dr
Walnut Creek, CA 94598-2550
Phone (732) 994-3200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP25756CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sand Coast Rehab Physical Therapy Inc Speech-Language Pathologist CurrentSince Nov 18, 2023 Accepting new patients
Rehab Alliance PastSince Jan 1, 2002 Accepting new patients

Locations

441 E Carson St
Ste K
Carson, CA 90745
Phone (732) 375-0420

650 Harrison Ave
Claremont, CA 91711
Phone (888) 627-2900

1350 S El Camino Real
Encinitas, CA 92024
Phone (760) 479-1818

22995 Mill Creek Dr
Ste A
Laguna Hills, CA 92653

3558 Round Barn Blvd
Ste 600
Santa Rosa, CA 95403

1200 Cypress Point Ln
Ventura, CA 93003
Phone (805) 650-8000

400 Route 70
Lakewood, NJ 08701
Phone (732) 802-7512

Organizations & group practices 2

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": "1701907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1639946874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 4TH ST APT 334",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946072128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 4TH ST APT 334",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946072128",
            "telephone_number": "513-370-1063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHPURWALA",
        "first_name": "SHAHEEN",
        "middle_name": "ZAHIR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-07",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP25756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.