NPIMap

Individual provider Active NPI

Nada Shaker

  • Anatomic Pathology Physician
  • Poway, CA
National Provider Identifier
1982281317
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
ME176866 Issued in FL
Practice address
13754 Sycamore Tree LN
Poway, CA 92064-4654
Phone
(415) 866-9563
NPI assigned
Mar 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 35.151793 OH
Anatomic Pathology Physician 207ZP0101X ME176866 FL Primary

Addresses

Primary practice location

13754 Sycamore Tree LN
Poway, CA 92064-4654

Mailing address

13754 Sycamore Tree LN
Poway, CA 92064-4654
Phone (415) 866-9563

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NY, OH, GA4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20250307002899 CA Practitioner - General Practice 9335660257 Reassigns benefits to 2 organizations
I20251125003753 NY Practitioner - General Practice 9335660257 Reassigns benefits to 1 organization
I20251202001610 OH Practitioner - General Practice 9335660257 Reassigns benefits to 1 organization
I20260313003235 GA Practitioner - Pathology 9335660257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yosemite Pathology Medical Group IncGroup PAC ID 3072415751, 45 clinicians

Practice addresses (Care Compare)

4301 N Star Way
Suite a
Modesto, CA 95356-9262
Phone (209) 577-1200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME176866FLMDAnatomic Pathology Physician
35.151793OHMDGeneral Practice Physician
109807GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Yosemite Pathology Medical Group, Inc CurrentSince Nov 5, 2025 Accepting new patients
Signify Health, LLC General Practice CurrentSince Oct 18, 2025 Accepting new patients
Robert S. Smith MD, Inc CurrentSince Jan 29, 2026 Accepting new patients
Brookview Medical Associates, PLLC General Practice CurrentSince Oct 17, 2025 Accepting new patients
Signify Health Medical Associates of California, PC General Practice CurrentSince Feb 3, 2025 Accepting new patients
Yosemite Pathology Medical Group, in Past Accepting new patients

Locations

818 W 7th St
Ste 930
Los Angeles, CA 90017
Phone (800) 525-9202

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

4301 N Star Way
Ste A
Modesto, CA 95356

4301 N Star Way
Modesto, CA 95356
Phone (915) 521-2290

505 Montgomery St
Fl 10
San Francisco, CA 94111
Phone (503) 427-8095

11390 Old Roswell Rd
Ste 100
Alpharetta, GA 30009
Phone (678) 708-4769

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 6

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1982281317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13754 SYCAMORE TREE LN",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920644654",
            "telephone_number": "415-866-9563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13754 SYCAMORE TREE LN",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920644654",
            "telephone_number": "415-866-9563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAKER",
        "first_name": "NADA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-24",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": "35.151793",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "FL",
            "license": "ME176866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poway, CA

Sources for this page

Verify at the official NPI Registry.