NPIMap

Individual provider Active NPI

Rachna M Shah, PA-C

  • Physician Assistant
  • Long Beach, CA
National Provider Identifier
1831489095
Registry record updated Jul 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA21545 Issued in CA
Practice address
3833 Worsham Ave
Suite 300
Long Beach, CA 90808-1745
Phone
(562) 595-5421
Fax
(562) 426-2862
NPI assigned
Apr 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA21545 CA Primary

Addresses

Primary practice location

3833 Worsham Ave
Suite 300
Long Beach, CA 90808-1745

Mailing address

3833 Worsham Ave
Suite 300
Long Beach, CA 90808-1745
Phone (562) 595-5421

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110715000501 CA Practitioner - Physician Assistant 6507034626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
UC RegentsGroup PAC ID 7416869516, 316 clinicians

Practice addresses (Care Compare)

101 The City Dr S
Orange, CA 92868-3201

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
83.7
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA21545CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
UC Regents CurrentSince Jul 25, 2022 Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
University of California Irvine Past Accepting new patients
UC Regents Past Accepting new patients
University of California Irvine Past Accepting new patients
Lucile Salter Packard Children'S Hospital at Stanford Past Accepting new patients

Locations

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

101 The City Dr S
Bldg 22C
Orange, CA 92868
Phone (714) 456-5308

Interoperability endpoints

  • Direct secure messaging: rachna.shah@lbgastro.directbygreenway.com

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1302220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469664000000",
    "number": "1831489095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3833 WORSHAM AVE",
            "address_2": "SUITE 300",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081745",
            "telephone_number": "562-595-5421",
            "fax_number": "562-426-2862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3833 WORSHAM AVE",
            "address_2": "SUITE 300",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081745",
            "telephone_number": "562-595-5421",
            "fax_number": "562-426-2862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "RACHNA",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-08",
        "last_updated": "2016-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA21545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.