Individual provider Active NPI

Leila Shahnavaz, NP

  • Nurse Practitioner
  • San Jose, CA
National Provider Identifier
1780701979
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP18064 Issued in CA
Practice address
1691 The Alameda
San Jose, CA 95126-2203
Phone
(408) 287-7526
Fax
(408) 971-6963
NPI assigned
Mar 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN 550240 CA
Nurse Practitioner 363L00000X NP18064 CA Primary

Addresses

Primary practice location

1691 The Alameda
San Jose, CA 95126-2203

Mailing address

1691 The Alameda
San Jose, CA 95126-2203
Phone (408) 287-7532

Other practice location 1

26137 La Paz Rd Ste 200
Mission Viejo, CA 92691-5321
Phone (714) 922-4100

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251125003091 CA Practitioner - Nurse Practitioner 8123510252 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gateway Rehab and Wellness Center IncGroup PAC ID 7517094980, 7 clinicians
Medhat F Mikhael MD IncGroup PAC ID 7315958188, 11 clinicians

Practice addresses (Care Compare)

24002 Via Fabricante
Suite 501
Mission Viejo, CA 92691-3934
Phone (949) 454-8811

295 Imperial Hwy
Suite 100
Fullerton, CA 92835-1020
Phone (714) 770-8400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN 550240CAMDRegistered Nurse
NP18064CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway Rehab & Wellness Center, Inc. CurrentSince Feb 1, 2026 Accepting new patients
Medhat F. Mikhael, M.D., Inc CurrentSince Oct 20, 2025 Accepting new patients

Locations

18255 Brookhurst St
Ste 100
Fountain Vly, CA 92708
Phone (714) 378-5330

295 Imperial Hwy
Ste 100
Fullerton, CA 92835
Phone (714) 770-8366

16787 Beach Blvd
Huntington Beach, CA 92647
Phone (657) 204-6014

24411 Health Center Dr
Ste 610
Laguna Hills, CA 92653
Phone (714) 963-7240

3620 Atlantic Ave
Long Beach, CA 90807
Phone (562) 595-0060

24002 Via Fabricante
Ste 501
Mission Viejo, CA 92691
Phone (949) 454-8811

1950 E 17th St
Ste 200
Santa Ana, CA 92705
Phone (714) 495-4050

Organizations & group practices 2

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": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1780701979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1691 THE ALAMEDA",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262203",
            "telephone_number": "408-287-7532",
            "fax_number": "408-287-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1691 THE ALAMEDA",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262203",
            "telephone_number": "408-287-7526",
            "fax_number": "408-971-6963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26137 La Paz Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Mission Viejo",
            "state": "CA",
            "postal_code": "926915321",
            "country_code": "US",
            "telephone_number": "714-922-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAHNAVAZ",
        "first_name": "LEILA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN 550240",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP18064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.