Active NPI
Shahin Kachhi, PA-C
- Physician Assistant
- Sacramento, CA
National Provider Identifier
1932500261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 51834
- Practice address
- 4420 Duckhorn Dr Ste 200
Sacramento, CA 95834-2590 - Phone
- (916) 419-9900
- Fax
- (916) 419-9699
- NPI assigned
- Sep 5, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 51834 | CA | Primary |
Addresses
Primary practice location
4420 Duckhorn Dr Ste 200
Sacramento, CA 95834-2590
Mailing address
4420 Duckhorn Dr Ste 200
Sacramento, CA 95834-2590
Phone (916) 419-9900
Other names 1
- Shahin Wadhwania
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51834 | CA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spine & Nerve Diagnostic Center | Current | Accepting new patients |
Locations
1528 Eureka Rd
Ste 103
Roseville, CA 95661
Phone (916) 772-5325
4420 Duckhorn Dr
Ste 200
Sacramento, CA 95834
Phone (916) 419-9900
Interoperability endpoints
- swadhwania303512@hisp.ehr.sutterhealth.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Roseville, CA
- NPI 1144628504
-
- Physical Medicine & Rehabilitation Physician
- Folsom, CA
- NPI 1457902496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445212800000",
"number": "1932500261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4420 DUCKHORN DR STE 200",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958342590",
"telephone_number": "916-419-9900",
"fax_number": "916-419-9699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4420 DUCKHORN DR STE 200",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958342590",
"telephone_number": "916-419-9900",
"fax_number": "916-419-9699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KACHHI",
"first_name": "SHAHIN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-05",
"last_updated": "2015-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "51834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHAHIN",
"last_name": "WADHWANIA",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.