Individual provider Active NPI

Samee Shaun Shahzada, M.D.

  • Psychiatry Physician
  • Walnut Creek, CA
National Provider Identifier
1831345784
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A116357 Issued in CA
Practice address
3238 Inverness Dr
Walnut Creek, CA 94598-3935
Phone
(408) 455-7173
NPI assigned
Aug 12, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A116357 CA Primary

Addresses

Primary practice location

3238 Inverness Dr
Walnut Creek, CA 94598-3935

Mailing address

3238 Inverness Dr # E207
Walnut Creek, CA 94598-3935
Phone (408) 455-7173

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
I20111110000687 CA Practitioner - Psychiatry 9638343569 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.91 of 100Reported as group
Quality
75.49
Promoting interoperability
94
Improvement activities
40
Cost
73.96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A116357CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Helena Hospital CurrentSince Apr 1, 2023 Accepting new patients
St. Helena Hospital CurrentSince Apr 1, 2023 Accepting new patients
County of Alameda CurrentSince Nov 9, 2024 Accepting new patients
Alameda County Current Accepting new patients
Adventist Health California Medical Group, Inc. Past Accepting new patients

Locations

2045 Fairmont Dr
Castro Valley, CA 94578
Phone (510) 667-7500

409 Jackson St
Ste 100
Hayward, CA 94544
Phone (510) 383-5103

3730 Hopyard Rd
Ste 103
Pleasanton, CA 94588
Phone (925) 462-3010

821 Saint Helena Hwy S
#208
Saint Helena, CA 94574

6 Woodland Rd
Ste 202
Saint Helena, CA 94574
Phone (707) 963-5294

999 Adams St
Ste 106
Saint Helena, CA 94574
Phone (707) 963-4997

525 Oregon St
Vallejo, CA 94590
Phone (707) 301-1657

100 E Lehigh Ave
Philadelphia, PA 19125
Phone (215) 707-1200

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1831345784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3238 INVERNESS DR # E207",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983935",
            "telephone_number": "408-455-7173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3238 INVERNESS DR",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983935",
            "telephone_number": "408-455-7173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHZADA",
        "first_name": "SAMEE",
        "middle_name": "SHAUN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-12",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A116357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.