Individual provider Active NPI

Panna R Shah, MD

  • Psychiatry Physician
  • Eureka, CA
National Provider Identifier
1780659763
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C53290 Issued in CA
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

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
896847MedicaidAZ

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
I20120928000434 CA Practitioner - PsychiatryPractitioner - Neurology 9032169941 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neurology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of MontereyGroup PAC ID 2466345632, 186 clinicians

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

LicenseStateTypeSpecialty
53290CAMDMarriage & Family Therapist
C53290CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Access Telecare California, P.C. Neurology CurrentSince Apr 16, 2023 Accepting new patients
County of San Diego CurrentSince Aug 21, 2017 Accepting new patients
Hope Services CurrentSince Mar 20, 2022 Accepting new patients
County of San Diego CurrentSince Aug 21, 2017 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

  • Direct secure messaging: pshah691106@direct.unitypoint.org
  • Direct secure messaging: pshah182133@direct.llu.edu
  • Direct secure messaging: pshah534017@direct.umm.edu
  • Direct secure messaging: 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.

View all 13

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

Verify at the official NPI Registry.