Individual provider Active NPI

Sona Shah, MD

  • Ophthalmology Physician
  • Chula Vista, CA
National Provider Identifier
1750943403
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A181585 Issued in CA
Practice address
311 Del Mar Ave
Chula Vista, CA 91910-3908
Phone
(619) 427-3355
Fax
(619) 427-0955
NPI assigned
Jul 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Ophthalmology Physician 207W00000X A181585 CA Primary

Addresses

Primary practice location

311 Del Mar Ave
Chula Vista, CA 91910-3908

Mailing address

311 Del Mar Ave
Chula Vista, CA 91910-3908
Phone (619) 427-3355

Other practice location 1

1450 San Pablo St # 4400
Los Angeles, CA 90033-5331
Phone (323) 442-6335

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230713000524 CA Practitioner - Ophthalmology 0143612267 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Institute of California Medical Group IncGroup PAC ID 3971530122, 4 clinicians

Practice addresses (Care Compare)

311 Del Mar Ave
Chula Vista, CA 91910-3908
Phone (619) 472-3355

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A181585CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Usc Care Medical Group, Inc Ophthalmology CurrentSince Jun 1, 2023 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Jun 1, 2023 Accepting new patients
Eye Institute of California Medical Group Inc Ophthalmology CurrentSince Apr 30, 2024 Accepting new patients
Scripps Health PastSince Apr 30, 2024 Accepting new patients

Locations

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

311 Del Mar Ave
Chula Vista, CA 91910
Phone (619) 427-3355

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

1450 San Pablo St
#4400
Los Angeles, CA 90033
Phone (323) 442-6335

100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1750943403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 DEL MAR AVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919103908",
            "telephone_number": "619-427-3355",
            "fax_number": "619-427-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 DEL MAR AVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919103908",
            "telephone_number": "619-427-3355",
            "fax_number": "619-427-0955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1450 San Pablo St # 4400",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900335331",
            "country_code": "US",
            "telephone_number": "323-442-6335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SONA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A181585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.