Individual provider Active NPI

Sha Zhang, MD, PHD

  • Anatomic Pathology & Clinical Pathology Physician
  • San Diego, CA
National Provider Identifier
1790063030
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
A138005 Issued in CA
Practice address
7592 Metropolitan Dr Ste 406
San Diego, CA 92108-4428
Phone
(619) 297-4900
NPI assigned
Aug 3, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X A138005 CA Primary

Addresses

Primary practice location

7592 Metropolitan Dr Ste 406
San Diego, CA 92108-4428

Mailing address

305 Park Creek Dr
Clovis, CA 93611-4426
Phone (559) 326-2815

Other practice location 1

5841 S Maryland Ave
Chicago, IL 60637-1447
Phone (773) 834-8376

Other practice location 2

305 Park Creek Dr
Clovis, CA 93611
Phone (559) 326-2815

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
I20171013000764 CA Practitioner - Pathology 9830493469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4077 5TH Ave
San Diego, CA 92103-2105
Phone (619) 691-7185

435 H St
Chula Vista, CA 91910-4307
Phone (619) 325-8741

7592 Metropolitan Dr
San Diego, CA 92108-4428
Phone (619) 325-8741

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
A138005CAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Diego Pathologists Medical Group Inc Anatomic Pathology & Clinical Pathology Current Accepting new patients
The Regents of the University of California Past Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients

Locations

7592 Metropolitan Dr
Ste 405
San Diego, CA 92108
Phone (619) 325-8726

4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245

7592 Metropolitan Dr
Ste 406
San Diego, CA 92108
Phone (619) 297-4900

7592 Metropolitan Dr
Ste 405407
San Diego, CA 92108
Phone (619) 297-4900

5700 Southwyck Blvd
Toledo, OH 43614

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1790063030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 PARK CREEK DR",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936114426",
            "telephone_number": "559-326-2815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7592 METROPOLITAN DR STE 406",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084428",
            "telephone_number": "619-297-4900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5841 S Maryland Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606371447",
            "country_code": "US",
            "telephone_number": "773-834-8376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "305 Park Creek Dr",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "93611",
            "country_code": "US",
            "telephone_number": "559-326-2815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZHANG",
        "first_name": "SHA",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-03",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A138005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.