Shah & Khedia Medical Doctors Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A56166 Issued in CA

Legal business name

SHAH & KHEDIA MEDICAL DOCTORS INC

Doing business as

SOUTHERN CALIFORNIA SNF SPECIALIST SERVICES

Practice address

18335 Valley Blvd
La Puente, CA 91744-5968

Phone

(626) 810-3330

Fax

(626) 964-0440

NPI assigned

Aug 18, 2009

Organization subpart

No

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

Authorized official

Name

Hiren C Shah, MD

Title

Owner

Phone

(626) 810-3330

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• SOUTHERN CALIFORNIA SNF SPECIALIST SERVICES Doing business as

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250553600000",
    "number": "1770715104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18335 VALLEY BLVD",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917445968",
            "telephone_number": "626-810-3330",
            "fax_number": "626-964-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18335 VALLEY BLVD",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917445968",
            "telephone_number": "626-810-3330",
            "fax_number": "626-964-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAH & KHEDIA MEDICAL DOCTORS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-18",
        "last_updated": "2009-08-18",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "HIREN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-810-3330",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A56166",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A42703",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD OF CA FICTITIOUS NAME PERMIT",
            "identifier": "FNP39178",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTHERN CALIFORNIA SNF SPECIALIST SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mabel Beatriz Schneider-Utz, DDS
• Bessie Christine Schwartz
• Rose Amachiztli Scobie
• John Sedgh, M.D.
• Seran NG DMD Inc
• Shams a. Mousavilar,MD,Inc.
• Eugenia Sharon, NP
• Joanne Hyo-Jung Shim
• Maria Kristina Sia, NP, RN
• Matthew Agustin Aquino Sia

• Internal Medicine Physician in La Puente, CA
• Providers in La Puente, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; 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.