Shivani Vasishta, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

53297 Issued in CA

Practice address

5800 Nave Dr
Novato, CA 94949

Phone

(800) 972-5547

NPI assigned

Mar 22, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Permanente Medical Group IncGroup PAC ID 8921910225, 10,928 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

96.69 of 100Reported as group

Quality

90

Improvement activities

40

Cost

78.43

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shivani.vasishta.1@19336.direct.athenahealth.com
• Direct secure messaging: shivani.vasishta.1@20515.direct.athenahealth.com
• Direct secure messaging: svasishta348608@hisp.ehr.sutterhealth.org

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.

• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Santa Clara, CA
  • NPI 1073606299
  Medicare reassignment Care Compare group NPD
• Cep America - California

  • Emergency Medicine Physician
  • Santa Ana, CA
  • NPI 1548667843
  Medicare reassignment
• All Inclusive Medical Services Urgent Care, Inc.

  • Urgent Care Clinic/Center
  • Carmichael, CA
  • NPI 1952917635
  NPD
• American River Urgent Care, Inc

  • Urgent Care Clinic/Center
  • Orangevale, CA
  • NPI 1598279085
  NPD
• Cep America - California

  • Emergency Medicine Physician
  • Glendora, CA
  • NPI 1043684764
  NPD
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1841373800
  NPD
• Permanente Medical Group, Inc

  • Clinical Medical Laboratory
  • San Jose, CA
  • NPI 1497971584
  NPD
• Vituity - Urgent Care Services PC

  • Urgent Care Clinic/Center
  • Mission Viejo, CA
  • NPI 1598394686

  Physician Assistant

  NPD
• Carbon Health Primary Care of California PC

  • Multi-Specialty Clinic/Center
  • Berkeley, CA
  • NPI 1972057990
  NPD (past)
• Eric L Ellis MD Inc

  • Urgent Care Clinic/Center
  • Lincoln, CA
  • NPI 1386118305
  NPD (past)
• Vituity - Urgent Care Services PC

  • Urgent Care Clinic/Center
  • Cameron Park, CA
  • NPI 1013588250
  NPD (past)

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1750743555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 DISTEL CIR",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 NAVE DR",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "94949",
            "telephone_number": "800-972-5547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 Gellert Blvd",
            "address_purpose": "LOCATION",
            "city": "Daly City",
            "state": "CA",
            "postal_code": "940152613",
            "country_code": "US",
            "telephone_number": "650-270-2394",
            "fax_number": "650-270-2396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VASISHTA",
        "first_name": "SHIVANI",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-22",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "53297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nader Mehra Vafaie, DMD
• Silke Regina Valentine, LMT
• Alexandra Rane Valenzuela
• Michelle Vande Stouwe
• Edward Carl Vander Clute, LCSW
• Susan K Veenschoten
• Veterans Administration
• Jean Vierra, MD
• Nancy Vierra, MS, MFT
• Steve Vilca

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; 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.

Verify at the official NPI Registry.