Active NPI
Himkala Shah
- Marriage & Family Therapist
- Fullerton, CA
National Provider Identifier
1942518535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 59720
- Practice address
- 801 E Chapman Ave
Ste 203
Fullerton, CA 92831-3839 - Phone
- (714) 680-9000
- NPI assigned
- Sep 17, 2010
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 59720 | CA | Primary |
Addresses
Primary practice location
801 E Chapman Ave
Ste 203
Fullerton, CA 92831-3839
Mailing address
801 E Chapman Ave
Ste 203
Fullerton, CA 92831-3839
Phone (714) 680-9000
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59720 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284681600000",
"number": "1942518535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 E CHAPMAN AVE",
"address_2": "STE 203",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928313839",
"telephone_number": "714-680-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 E CHAPMAN AVE",
"address_2": "STE 203",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928313839",
"telephone_number": "714-680-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "HIMKALA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-17",
"last_updated": "2010-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "59720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.