NPIMap

Organization Active NPI

Shilpa Diwan MD Inc

  • Psychiatry Physician
  • Irvine, CA
National Provider Identifier
1902458524
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
SHILPA DIWAN MD INC
Practice address
19772 Macarthur Blvd Ste 220
Irvine, CA 92612-2405
Phone
(949) 304-6727
Fax
(949) 312-5638
NPI assigned
Jul 13, 2019
Last updated
Jun 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Authorized official

Name
Shilpa Diwan, MDNPI 1942457999
Title
President
Phone
(949) 304-6727

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

19772 Macarthur Blvd Ste 220
Irvine, CA 92612-2405

Mailing address

6 Venture Ste 350
Irvine, CA 92618-7350
Phone (949) 304-6727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190828000707 CA Part B Supplier - Clinic/Group Practice 5890023980 Receives reassigned benefits from 6 practitioners
Practice locations: Irvine, CA

National Provider Directory

National Provider Directory

Locations

19772 MacArthur Blvd
Ste 220
Irvine, CA 92612
Phone (949) 304-6727

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1562976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591228800000",
    "number": "1902458524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 VENTURE STE 350",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926187350",
            "telephone_number": "949-304-6727",
            "fax_number": "760-859-3877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19772 MACARTHUR BLVD STE 220",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926122405",
            "telephone_number": "949-304-6727",
            "fax_number": "949-312-5638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHILPA DIWAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-13",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A",
        "authorized_official_last_name": "DIWAN",
        "authorized_official_first_name": "SHILPA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-304-6727",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.