Organization Active NPI

Deval a. Shah, M.D., Apmc

  • Child & Adolescent Psychiatry Physician
  • San Diego, CA
National Provider Identifier
1962268466
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
Legal business name
DEVAL A. SHAH, M.D., APMC
Practice address
12625 High Bluff Dr Ste 202
San Diego, CA 92130-2053
Phone
(650) 733-4345
Fax
(253) 455-7891
NPI assigned
Feb 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Authorized official

Name
Dr. Deval Ajit Shah, MDNPI 1265484869
Title
Owner
Phone
(650) 714-9820

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
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X Primary

Addresses

Primary practice location

12625 High Bluff Dr Ste 202
San Diego, CA 92130-2053

Mailing address

12625 High Bluff Dr Ste 202
San Diego, CA 92130-2053
Phone (650) 733-4345

Other practice location 1

2425 Park Blvd Ste B102
Palo Alto, CA 94306-1931
Phone (650) 733-4345

National Provider Directory

National Provider Directory

Locations

2425 Park Blvd
Ste B102
Palo Alto, CA 94306
Phone (516) 996-6693

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1708646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1962268466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12625 HIGH BLUFF DR STE 202",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302053",
            "telephone_number": "650-733-4345",
            "fax_number": "253-455-7891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12625 HIGH BLUFF DR STE 202",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302053",
            "telephone_number": "650-733-4345",
            "fax_number": "253-455-7891"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2425 Park Blvd Ste B102",
            "address_purpose": "LOCATION",
            "city": "Palo Alto",
            "state": "CA",
            "postal_code": "943061931",
            "country_code": "US",
            "telephone_number": "650-733-4345",
            "fax_number": "253-455-7891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DEVAL A. SHAH, M.D., APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-23",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "DEVAL",
        "authorized_official_middle_name": "AJIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-714-9820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.