Active NPI
Shan Marwan Elahi, MD
- Psychiatry Physician
- Napa, CA
National Provider Identifier
1982050159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 172956
- Practice address
- 1580 1St St
Napa, CA 94559-2841 - Phone
- (707) 258-8757
- NPI assigned
- May 6, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 172956 | CA | Primary |
Addresses
Primary practice location
1580 1St St
Napa, CA 94559-2841
Mailing address
2124 Cheshire Bridge Rd NE Apt 7208
Atlanta, GA 30324-5726
Phone (404) 408-9854
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 172956 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Butte | Current | Accepting new patients | |
| County of Butte | Current | Accepting new patients | |
| County of Butte | Current | Accepting new patients |
Locations
560 Cohasset Rd
Ste 175
Chico, CA 95926
Phone (530) 552-5076
3217 Cohasset Rd
Cohasset, CA 95973
Phone (530) 552-4578
995 Spruce St
Gridley, CA 95948
Phone (530) 846-7305
Organizations & group practices 4
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.
-
- Adult Mental Health Clinic/Center
- Chico, CA
- NPI 1578623583
-
- Adult Mental Health Clinic/Center
- San Pablo, CA
- NPI 1376620336
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Paradise, CA
- NPI 1174161343
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Gridley, CA
- NPI 1205994548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624924800000",
"number": "1982050159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2124 CHESHIRE BRIDGE RD NE APT 7208",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303245726",
"telephone_number": "404-408-9854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1580 1ST ST",
"city": "NAPA",
"state": "CA",
"postal_code": "945592841",
"telephone_number": "707-258-8757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELAHI",
"first_name": "SHAN",
"middle_name": "MARWAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-06",
"last_updated": "2021-06-29",
"certification_date": "2021-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "172956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Napa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.