Heta Neel Shah, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA-18369 Issued in CA

Practice address

6848 Magnolia Ave
Suite 230
Riverside, CA 92506-2857

Phone

(714) 680-9258

NPI assigned

Oct 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366070400000",
    "number": "1912091364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6848 MAGNOLIA AVE",
            "address_2": "SUITE 230",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062857",
            "telephone_number": "714-680-9258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6848 MAGNOLIA AVE",
            "address_2": "SUITE 230",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062857",
            "telephone_number": "714-680-9258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "HETA",
        "middle_name": "NEEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2013-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA-18369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariam Wael Shafik, PHARMD
• Arpan Shah, MD
• Birju D Shah, MD
• Gaurang S Shah, MD
• Heili Pritesh Shah
• Isha Shah
• Khushali Sanjay Shah, DO
• Nikhil Dinesh Shah, MD
• Nikita Parag Shah, DO
• Parimal G Shah, RPH

• Physician Assistant in Riverside, CA
• Providers in Riverside, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; 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.