Dr Yatin Shah, MD | |
4050 Dublin Blvd, Dublin, CA 94568-3112 | |
(925) 875-6100 | |
Not Available |
Full Name | Dr Yatin Shah |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 4050 Dublin Blvd, Dublin, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780680546 | NPI | - | NPPES |
83Y185 | Other | TX | BCBS PROVIDER NUMBER |
125438503 | Medicaid | TX | |
1655359001 | Other | TX | CIGNA PROV NUMBER |
123734100 | Other | TX | FIRST CARE PROV NUMBER |
141962301 | Other | TX | UNITED HEALTHCARE PROV NO |
5004343 | Other | TX | AETNA PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | C53259 (California) | Primary |
208000000X | Pediatrics | K1668 (Texas) | Secondary |
Entity Name | Sutter Bay Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909 |
Mailing Address | Practice Location Address |
---|---|
Dr Yatin Shah, MD 325 Distel Cir, Los Altos, CA 94022-1408 Ph: (925) 875-6100 | Dr Yatin Shah, MD 4050 Dublin Blvd, Dublin, CA 94568-3112 Ph: (925) 875-6100 |
Kimberly H Chong, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4050 Dublin Blvd, Dublin, CA 94568 Phone: 925-875-6100 | |
Sarah Beann Leu, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4050 Dublin Blvd, Dublin, CA 94568 Phone: 925-875-6100 | |
Rebecca Olveda, Pediatrics Medicare: Medicare Enrolled Practice Location: 4050 Dublin Blvd, Dublin, CA 94568 Phone: 925-875-6100 | |
Corey Cheung, Pediatrics Medicare: Medicare Enrolled Practice Location: 4050 Dublin Blvd Fl 1, Dublin, CA 94568 Phone: 925-875-3700 | |
Geera Peters, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4050 Dublin Blvd, Dublin, CA 94568 Phone: 925-875-6100 | |
Vanessa Wong, Pediatrics Medicare: Medicare Enrolled Practice Location: 4050 Dublin Bvld, Dublin, CA 94568 Phone: 925-875-6100 | |
Dr. Dong-chune Christopher Chung, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5461 Asterwood Dr, Dublin, CA 94568 Phone: 925-833-8367 Fax: 925-833-8367 |