Active NPI
Shashi D Ganti MD PC
- Ophthalmology Physician
- Fremont, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- A38830
- Legal business name
- SHASHI D GANTI MD PC
- Practice address
- 2147 Mowry Ave Ste D1
Fremont, CA 94538-1724 - Phone
- (510) 556-2153
- Fax
- (510) 556-2155
- NPI assigned
- Feb 18, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shashi D Ganti, MD
- Title
- President/Ceo
- Phone
- (559) 433-5459
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | A38830 | CA | Primary |
Addresses
Primary practice location
2147 Mowry Ave Ste D1
Fremont, CA 94538-1724
Mailing address
2147 Mowry Ave Ste D1
Fremont, CA 94538-1724
Phone (510) 556-2153
Other practice location 1
557 W Morton Ave Unit D
Porterville, CA 93257-3383
Phone (559) 433-5459
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2147 Mowry Ave
Ste D1
Fremont, CA 94538
Phone (510) 556-2153
557 W Morton Ave
Unit D
Porterville, CA 93257
Phone (559) 433-5459
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DGFCDA
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Porterville, CA
- NPI 1023037215
-
- Gastroenterology Physician
- Porterville, CA
- NPI 1831352095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726963200000",
"number": "1801287420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2147 MOWRY AVE STE D1",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381724",
"telephone_number": "510-556-2153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2147 MOWRY AVE STE D1",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381724",
"telephone_number": "510-556-2153",
"fax_number": "510-556-2155"
}
],
"practiceLocations": [
{
"address_1": "557 W Morton Ave Unit D",
"address_purpose": "LOCATION",
"city": "Porterville",
"state": "CA",
"postal_code": "932573383",
"country_code": "US",
"telephone_number": "559-433-5459",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SHASHI D GANTI MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-18",
"last_updated": "2024-09-22",
"certification_date": "2024-09-22",
"status": "A",
"authorized_official_last_name": "GANTI",
"authorized_official_first_name": "SHASHI",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "559-433-5459",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "CA",
"license": "A38830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.