Individual provider Active NPI

Beena H Shah, M.D.

  • Infectious Disease Physician
  • Yorba Linda, CA
National Provider Identifier
1790795953
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
A42702 Issued in CA
Practice address
20505 Yorba Linda Blvd
Ste 541
Yorba Linda, CA 92886-7109
Phone
(714) 547-7008
NPI assigned
Aug 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X A42702 CA Primary

Addresses

Primary practice location

20505 Yorba Linda Blvd
Ste 541
Yorba Linda, CA 92886-7109

Mailing address

19713, Yorba Linda Blvd
#54
Yorba Linda, CA 92886-7109
Phone (714) 547-7008

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
I20070530000602 CA Practitioner - Infectious Disease 3577661487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

18335 E Valley Blvd
La Puente, CA 91744-5968
Phone (626) 810-3330

Hospital & facility affiliations

  • Ahmc Anaheim Regional Medical Center Hospital, Anaheim, CA, CCN 050226
  • West Anaheim Medical Center Hospital, Anaheim, CA, CCN 050426
  • Providence St. Jude Medical Center Hospital, Fullerton, CA, CCN 050168

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A42702CAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Infectious Disease Physicians Medical Group Inc Infectious Disease CurrentSince Jun 5, 2014 Accepting new patients

Locations

3033 W Orange Ave
Anaheim, CA 92804
Phone (714) 229-5649

1111 W La Palma Ave
Anaheim, CA 92801
Phone (714) 774-1450

7901 Walker St
La Palma, CA 90623
Phone (562) 424-2900

18335 E Valley Blvd
La Puente, CA 91744
Phone (626) 810-3330

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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 4

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1790795953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19713, YORBA LINDA BLVD",
            "address_2": "#54",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928867109",
            "telephone_number": "714-547-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20505 YORBA LINDA BLVD",
            "address_2": "STE 541",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928867109",
            "telephone_number": "714-547-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "BEENA",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A42702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorba Linda, CA

Sources for this page

Verify at the official NPI Registry.