Active NPI
Natasha Shah, MSPAS
- Physician Assistant
- Clovis, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA60725
- Practice address
- 704 Agua Dulce Ave
Clovis, CA 93619-8573 - Phone
- (818) 939-4728
- NPI assigned
- Oct 24, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | PA60725 | CA | Primary |
Addresses
Primary practice location
704 Agua Dulce Ave
Clovis, CA 93619-8573
Mailing address
704 Agua Dulce Ave
Clovis, CA 93619-8573
Phone (818) 939-4728
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2473 E Fir Ave
Fresno, CA 93720-0538
Phone (559) 603-7525
255 W Bullard Ave
Suite 124
Clovis, CA 93612-0861
Phone (559) 297-1300
45 E River Park PL W
Fresno, CA 93720-1565
Phone (559) 320-0530
Hospital & facility affiliations
- Kure Home Health
- Community Regional Medical Center
- Clovis Community Medical Center
- San Joaquin Valley Rehabilitation Hosp
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.04 of 100
- Quality
- 78.62
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.31
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA60725 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Partners | Current | Accepting new patients |
Locations
255 W Bullard Ave
Ste 124
Clovis, CA 93612
Phone (559) 297-1300
45 E River Park Pl W
Ste 104
Fresno, CA 93720
Phone (559) 320-0550
2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251
805 W Acequia Ave
Ste 2D
Visalia, CA 93291
Phone (559) 622-8687
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Fresno, CA
- NPI 1952912420
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital
- Fresno, CA
- NPI 1831144716
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Fresno, CA
- NPI 1104906569
-
- General Acute Care Hospital
- Clovis, CA
- NPI 1316027709
-
- Home Health Agency
- Clovis, CA
- NPI 1063979417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736121600000",
"number": "1699439992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "704 AGUA DULCE AVE",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936198573",
"telephone_number": "818-939-4728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "704 AGUA DULCE AVE",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936198573",
"telephone_number": "818-939-4728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "NATASHA",
"credential": "MSPAS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-24",
"last_updated": "2025-01-06",
"certification_date": "2025-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA60725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clovis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.