Krupa Shah MD, a Professional Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

KRUPA SHAH MD, A PROFESSIONAL CORPORATION

Practice address

1294 W 6TH St Ste 204
San Pedro, CA 90731-2998

Phone

(310) 832-5331

Fax

(310) 521-0139

NPI assigned

Dec 6, 2018

Organization subpart

No

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

Authorized official

Name

Krupa Shah, MD

Title

Chief Executive Officer

Phone

(310) 832-5331

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julie Bartok, FNP

  • Family Nurse Practitioner
  • San Pedro, CA
  • NPI 1760750046
  NPD (past)

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

{
    "created_epoch": "1544054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1831660588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1294 W 6TH ST STE 204",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907312998",
            "telephone_number": "310-832-5331",
            "fax_number": "310-521-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1294 W 6TH ST STE 204",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907312998",
            "telephone_number": "310-832-5331",
            "fax_number": "310-521-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRUPA SHAH MD, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "KRUPA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "310-832-5331",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sapna Krishnan, MD
• Tasia Kristich
• Lori Marie Kroeker
• Kromas Chiropractic, Inc
• Kim D Kromas, DC
• John L Kurtz
• Daisy Yee Kyu, PHARMD
• L a Harbor Health Groupinc
• La County Department of Mental Health
• La Vida Hospice, Inc.

• Family Medicine Physician in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.