Shilpa Vichare, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

15313 Issued in CA

Practice address

877 W Fremont Ave
Ste G1
Sunnyvale, CA 94087-2315

Phone

(408) 736-0441

Fax

(408) 736-0722

NPI assigned

Jan 29, 2007

Last updated

Feb 5, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202169600000",
    "number": "1649316795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "877 W FREMONT AVE",
            "address_2": "STE G1",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940872315",
            "telephone_number": "408-736-0441",
            "fax_number": "408-736-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 W FREMONT AVE",
            "address_2": "STE G1",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940872315",
            "telephone_number": "408-736-0441",
            "fax_number": "408-736-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICHARE",
        "first_name": "SHILPA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2008-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA217",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "15313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112270100",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physician Assistant in Sunnyvale, CA
• Providers in Sunnyvale, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.