Active NPI
Shahdi Vakili, F.N.P.
- Family Nurse Practitioner
- Danville, CA
National Provider Identifier
1881016475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 22628
- Practice address
- 3600 Blackhawk Plaza Cir
Danville, CA 94506-4623 - Phone
- (925) 736-5757
- NPI assigned
- Jan 16, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 22628 | CA | Primary |
Addresses
Primary practice location
3600 Blackhawk Plaza Cir
Danville, CA 94506-4623
Mailing address
3600 Blackhawk Plaza Cir
Danville, CA 94506-4623
Phone (925) 736-5757
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389830400000",
"number": "1881016475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 BLACKHAWK PLAZA CIR",
"city": "DANVILLE",
"state": "CA",
"postal_code": "945064623",
"telephone_number": "925-736-5757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 BLACKHAWK PLAZA CIR",
"city": "DANVILLE",
"state": "CA",
"postal_code": "945064623",
"telephone_number": "925-736-5757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAKILI",
"first_name": "SHAHDI",
"credential": "F.N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-16",
"last_updated": "2014-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "22628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.