Organization Active NPI

North County Ophthalmology Medical Group

  • Ophthalmology Physician
  • Poway, CA
National Provider Identifier
1831330729
Registry record updated Nov 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A100573 Issued in CA
Legal business name
NORTH COUNTY OPHTHALMOLOGY MEDICAL GROUP
Practice address
15708 Pomerado Rd
Suite-N-202
Poway, CA 92064-2066
Phone
(858) 485-5600
Fax
(858) 485-5692
NPI assigned
Mar 23, 2009
Last updated
Nov 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2010

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

Authorized official

Name
Dr. Paras R Shah, MDNPI 1912909706
Title
Owner
Phone
(858) 485-5600

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)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A100573 CA Primary

Addresses

Primary practice location

15708 Pomerado Rd
Suite-N-202
Poway, CA 92064-2066

Mailing address

15708 Pomerado Rd
Suite-N-202
Poway, CA 92064-2066
Phone (858) 485-5600

Other identifiers 2

IdentifierTypeStateIssuer
1831330729MedicaidCA
A100573OtherCASTATE LICENSE

Other names 1

  • Paras R Shah MD A Medical Corporation Former legal business name

National Provider Directory

National Provider Directory

Locations

15706 Pomerado Rd
Ste 103
Poway, CA 92064
Phone (858) 451-8600

15708 Pomerado Rd
Ste 202
Poway, CA 92064
Phone (858) 485-5600

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1237766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290124800000",
    "number": "1831330729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15708 POMERADO RD",
            "address_2": "SUITE-N-202",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642066",
            "telephone_number": "858-485-5600",
            "fax_number": "858-485-5692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15708 POMERADO RD",
            "address_2": "SUITE-N-202",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642066",
            "telephone_number": "858-485-5600",
            "fax_number": "858-485-5692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COUNTY OPHTHALMOLOGY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-23",
        "last_updated": "2010-11-19",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "PARAS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-485-5600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A100573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831330729",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A100573",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paras R Shah MD A Medical Corporation",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Poway, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; 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.