Shalini Jeyakumar, MPA, RPA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA20853 Issued in CA

Practice address

20400 Lake Chabot Rd
Ste 304
Castro Valley, CA 94546-5316

Phone

(510) 537-0700

Fax

(510) 537-7795

NPI assigned

Mar 4, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Bass Medical Group

  • Specialist
  • Walnut Creek, CA
  • NPI 1154401941
  NPD (past)
• Family Care Medicine PC

  • Family Medicine Physician
  • Tonawanda, NY
  • NPI 1730281627
  NPD (past)
• General Physician, PC

  • General Practice Physician
  • Dunkirk, NY
  • NPI 1093959322
  NPD (past)

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

{
    "created_epoch": "1267660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519603200000",
    "number": "1801119995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 CAMINO RAMON",
            "address_2": "STE 180",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945832060",
            "telephone_number": "925-734-8130",
            "fax_number": "925-225-9520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20400 LAKE CHABOT RD",
            "address_2": "STE 304",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465316",
            "telephone_number": "510-537-0700",
            "fax_number": "510-537-7795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEYAKUMAR",
        "first_name": "SHALINI",
        "credential": "MPA, RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-04",
        "last_updated": "2018-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA20853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP ID",
            "identifier": "CB205034",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Blair Jarrett
• Priyanka Saharan Jayan, M.D.
• Jean-Pierre L Viel
• Daniel Jean, DPT, PT
• Jeffrey DO MD, Inc
• Jghcounseling
• Alexis Jimenez
• Maria Theresa Johansson, PT
• John E Turns MD Inc
• John L Nelson

• Physician Assistant in Castro Valley, CA
• Providers in Castro Valley, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.