Individual provider Active NPI

Shan Marwan Elahi, MD

  • Psychiatry Physician
  • Napa, CA
National Provider Identifier
1982050159
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
172956 Issued in CA
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

Updated by the provider on Jun 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210825001200 CA Practitioner - Psychiatry 7012200538 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
172956CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Butte CurrentSince Jul 1, 2021 Accepting new patients
County of Butte CurrentSince Jul 1, 2021 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.

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

Verify at the official NPI Registry.