Organization Active NPI

Kairav Shah MD PC

  • Pain Medicine Physician
  • Pleasanton, CA
National Provider Identifier
1982483624
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
KAIRAV SHAH MD PC
Practice address
4695 Chabot Dr Ste 200
Pleasanton, CA 94588-2756
Phone
(925) 222-4338
Fax
(925) 222-4338
NPI assigned
Sep 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Authorized official

Name
Kairav Rameshchandra Shah, MD
Title
Owner
Phone
(925) 222-4338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X Primary

Addresses

Primary practice location

4695 Chabot Dr Ste 200
Pleasanton, CA 94588-2756

Mailing address

1741 Campanula Dr
San Ramon, CA 94582-5155
Phone (925) 222-4338

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695340800000",
    "number": "1982483624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1741 CAMPANULA DR",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945825155",
            "telephone_number": "925-222-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4695 CHABOT DR STE 200",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945882756",
            "telephone_number": "925-222-4338",
            "fax_number": "925-222-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAIRAV SHAH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-22",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "KAIRAV",
        "authorized_official_middle_name": "RAMESHCHANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-222-4338",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; 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.