Shadi Ashtiani, RN, BSN, PHN, CCM

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95045431 Issued in CA

Practice address

2401 Crow Canyon Rd
San Ramon, CA 94583-1531

Phone

(925) 327-6146

Fax

(925) 327-6146

NPI assigned

Feb 20, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1811520596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1597 GLENN ST",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945452569",
            "telephone_number": "949-981-9293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 CROW CANYON RD",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831531",
            "telephone_number": "925-327-6146",
            "fax_number": "925-327-6146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHTIANI",
        "first_name": "SHADI",
        "credential": "RN, BSN, PHN, CCM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-20",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95045431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse in San Ramon, CA
• Providers in San Ramon, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.