Active NPI
Anjuman Jayesh Shah, MS, RDN
- Registered Dietitian
- Walnut Creek, CA
National Provider Identifier
1780161240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86073485
- Practice address
- 1630 N Main St # 177
Walnut Creek, CA 94596-4609 - Phone
- (925) 237-1378
- NPI assigned
- Jul 26, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86073485 | CA | Primary |
Addresses
Primary practice location
1630 N Main St # 177
Walnut Creek, CA 94596-4609
Mailing address
1630 N Main St # 177
Walnut Creek, CA 94596-4609
Phone (925) 237-1378
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86073485 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758240000000",
"number": "1780161240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1630 N MAIN ST # 177",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945964609",
"telephone_number": "925-237-1378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1630 N MAIN ST # 177",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945964609",
"telephone_number": "925-237-1378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "ANJUMAN",
"middle_name": "JAYESH",
"name_prefix": "Ms.",
"credential": "MS, RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-26",
"last_updated": "2025-09-19",
"certification_date": "2025-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86073485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.