NPIMap

Individual provider Active NPI

Shankar Prasad Ghimire, M.D.

  • Family Medicine Physician
  • Fremont, CA
National Provider Identifier
1851693378
Registry record updated Jul 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A114532 Issued in CA
Practice address
734 Mowry Ave
Fremont, CA 94536-4115
Phone
(510) 742-6274
NPI assigned
Dec 4, 2010
Last updated
Jul 15, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A114532 CA Primary

Addresses

Primary practice location

734 Mowry Ave
Fremont, CA 94536-4115

Mailing address

734 Mowry Ave
Fremont, CA 94536-4115
Phone (510) 742-6274

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
I20110610000018 CA Practitioner - Family Practice 1153508650 Reassigns benefits to 2 organizations
Practice locations: Fremont, CA; Hayward, CA; Milpitas, CA; San Jose, CA; Sunnyvale, CA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SNF Specialists Medical CorporationGroup PAC ID 3678849049, 26 clinicians

Practice addresses (Care Compare)

1255 Travis Blvd
Fairfield, CA 94533-4801
Phone (800) 973-1540

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
5.14 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
17.14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
114532CAMDSocial Worker
A114532CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Permanente Medical Group Inc Family Medicine Current Accepting new patients
Fremont Primary Care Inc CurrentSince Apr 20, 2011 Accepting new patients
SNF Specialists Medical Corporation CurrentSince Oct 23, 2023 Accepting new patients
Permanente Medical Group, Inc CurrentSince Sep 23, 2014 Accepting new patients
Permanente Medical Group Inc Family Medicine CurrentSince Sep 23, 2014 Accepting new patients

Locations

20090 Stanton Ave
Castro Valley, CA 94546
Phone (510) 538-8464

1255 Travis Blvd
Fairfield, CA 94533
Phone (707) 425-0623

734 Mowry Ave
Fremont, CA 94536
Phone (510) 742-6274

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

75 N 13th St
San Jose, CA 95112
Phone (408) 295-2665

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Fremont Healthcare CenterFremont, CA, CCN 056422 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Mar 10, 2019
Mar 10, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1291420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310688000000",
    "number": "1851693378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 MOWRY AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945364115",
            "telephone_number": "510-742-6274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 MOWRY AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945364115",
            "telephone_number": "510-742-6274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHIMIRE",
        "first_name": "SHANKAR",
        "middle_name": "PRASAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-04",
        "last_updated": "2011-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A114532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.