Active NPI
Deval a. Shah, M.D., Apmc
- Child & Adolescent Psychiatry Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Deval Ajit Shah, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 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 DirectoryLocations
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.
-
- Psychiatry Physician
- San Francisco, CA
- NPI 1265484869
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.