Active NPI
Panna R Shah, MD
- Psychiatry Physician
- Eureka, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- C53290
- Practice address
- 720 Wood St
Eureka, CA 95501-4413 - Phone
- (707) 502-5519
- NPI assigned
- Feb 22, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | C53290 | CA | |
| Psychiatry Physician | 2084P0800X | C53290 | CA | Primary |
Addresses
Primary practice location
720 Wood St
Eureka, CA 95501-4413
Mailing address
21270 Blue Hills Dr
Saratoga, CA 95070-6517
Phone (619) 403-1701
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 896847 | Medicaid | AZ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1441 Constitution Blvd
Suite 202
Salinas, CA 93906-3127
Phone (831) 769-1700
359 Gabilan Dr
Soledad, CA 93960-3550
Phone (831) 769-8740
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53290 | CA | MD | Marriage & Family Therapist |
| C53290 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| Access Telecare California, P.C. | Neurology | Current | Accepting new patients |
| County of San Diego | Current | Accepting new patients | |
| Hope Services | Current | Accepting new patients | |
| County of San Diego | Current | Accepting new patients | |
| County of San Diego | Current | Accepting new patients | |
| Southern California Neurology and Psychiatry Inc | Neurology | Current | Accepting new patients |
| East Portland Neurology Clinic PC | Neurology | Past | Accepting new patients |
| Southern California Neurology and Psychiatry | Neurology | Past | Accepting new patients |
| Mark Twain Medical Center | Past | Accepting new patients | |
| Michele M Peters FNP | Past | Accepting new patients |
Locations
400 Old River Rd
Bakersfield, CA 93311
Phone (661) 663-6000
1000 Broadway
Ste 210
El Cajon, CA 92021
Phone (619) 401-5500
720 Wood St
Eureka, CA 95501
Phone (707) 268-2900
1515 E Ocean Ave
Lompoc, CA 93436
Phone (805) 737-3300
1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251
3177 Ocean View Blvd
San Diego, CA 92113
Phone (619) 231-9300
3853 Rosecrans St
San Diego, CA 92110
Phone (619) 615-0439
1250 Morena Blvd
San Diego, CA 92110
Phone (619) 692-8715
2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500
1555 Parkmoor Ave
San Jose, CA 95128
Phone (408) 282-0402
13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500
347 Andrieux St
Sonoma, CA 95476
Phone (707) 935-5000
825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744
Interoperability endpoints
- pshah691106@direct.unitypoint.org
- pshah182133@direct.llu.edu
- pshah534017@direct.umm.edu
- pshah27730@direct.xtensys.com
Organizations & group practices 13
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.
-
dba Adult Services Program Salinas Valley
- Adult Mental Health Clinic/Center
- Salinas, CA
- NPI 1467584805
-
- Public Health or Welfare Agency
- San Diego, CA
- NPI 1225255375
-
- Neurology Physician
- Eureka, CA
- NPI 1003153412
-
- Community/Behavioral Health Agency
- San Jose, CA
- NPI 1861445306
-
- Neurology Physician
- La Jolla, CA
- NPI 1114271665
-
dba San Diego County Fire Protection District
- Ambulance
- San Diego, CA
- NPI 1316685159
-
- Community/Behavioral Health Agency
- San Diego, CA
- NPI 1336209220
-
- Community/Behavioral Health Agency
- Mountain View, CA
- NPI 1043571730
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Critical Access Hospital
- San Andreas, CA
- NPI 1508968819
-
- Neurology Physician
- Portland, OR
- NPI 1285834135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785369600000",
"number": "1780659763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21270 BLUE HILLS DR",
"city": "SARATOGA",
"state": "CA",
"postal_code": "950706517",
"telephone_number": "619-403-1701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 WOOD ST",
"city": "EUREKA",
"state": "CA",
"postal_code": "955014413",
"telephone_number": "707-502-5519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "PANNA",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-22",
"last_updated": "2026-07-30",
"certification_date": "2026-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "C53290",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "C53290",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "896847",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eureka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.