Chandni Raj Shah

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-18-29577 Issued in CA

Practice address

1633 Bayshore Hwy Ste 155
Burlingame, CA 94010-1515

Phone

(423) 065-0376

NPI assigned

Apr 3, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1780180265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 SHADELANDS DR BLDG 10",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 BAYSHORE HWY STE 155",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940101515",
            "telephone_number": "423-065-0376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21241 Ventura Blvd",
            "address_purpose": "LOCATION",
            "city": "Woodland Hills",
            "state": "CA",
            "postal_code": "913642108",
            "country_code": "US",
            "telephone_number": "805-551-3408",
            "fax_number": "805-617-1725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "CHANDNI",
        "middle_name": "RAJ",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-03",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-18-29577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olga S Senashova, MD
• Serenity Hospice Care Inc
• Serra Medical Transportation Inc.
• Claire M Serrato, MD
• Ana Patricia Severo
• Sagar Prakash Shah, MD, MPH
• Sonia Shah, M.D.
• Gail M. Shak, PH.D.
• Sarah Shalev, M.D.
• Neil Nitin Shankar, AMFT

• Behavior Analyst in Burlingame, CA
• Providers in Burlingame, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; 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.