Jay Shah, DO - Medicare Family Practice in Chino Hills, CA

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Jay Shah, DO is a medicare enrolled "Family Medicine - Sports Medicine" physician in Chino Hills, California. He graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Premier Family Medicine Associates, Inc and his current practice location is 2140 Grand Ave Ste 125, Chino Hills, California. You can reach out to his office (for appointments etc.) via phone at (909) 630-7875.

Jay Shah is licensed to practice in California (license number 20A16182) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1023464336.

Contact Information

Jay Shah, DO
2140 Grand Ave Ste 125,
Chino Hills, CA 91709-6802
(909) 630-7875
(909) 469-2107

Map and Direction




Physician's Profile

Full NameJay Shah
GenderMale
SpecialityFamily Practice
Experience8 Years
Location2140 Grand Ave Ste 125, Chino Hills, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jay Shah graduated from medical school in 2016
  NPI Data:
  • NPI Number: 1023464336
  • Provider Enumeration Date: 05/05/2016
  • Last Update Date: 07/26/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9830451541
  • Enrollment ID: I20200730003521

Medical Identifiers

Medical identifiers for Jay Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023464336NPI-NPPES
1023464336MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QS0010XFamily Medicine - Sports Medicine 20A16182 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Pomona Valley Hospital Medical CenterPomona, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Premier Family Medicine Associates, Inc428454752259

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jay Shah allows following entities to bill medicare on his behalf.
Entity NamePremier Family Medicine Associates, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912907114
PECOS PAC ID: 4284547522
Enrollment ID: O20031111000889
Entity NameCalifornia Cardiovascular Consultants
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932202959
PECOS PAC ID: 7810800083
Enrollment ID: O20040205000591

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jay Shah is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jay Shah, DO
2140 Grand Ave Ste 125,
Chino Hills, CA 91709-6802

Ph: (909) 630-7875		Jay Shah, DO
2140 Grand Ave Ste 125,
Chino Hills, CA 91709-6802

Ph: (909) 630-7875

Reviews and Comments


Family Medicine Doctors in Chino Hills, CA

Naheed Momand, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2140 Grand Ave Ste 125, Chino Hills, CA 91709
Phone: 909-630-7875    Fax: 909-630-7876
Jesse Cheung, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2140 Grand Ave Ste 125, Chino Hills, CA 91709
Phone: 909-630-7875    Fax: 909-469-2107
Ashish Bhalla, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 3110 Chino Ave, Suite 150b, Chino Hills, CA 91709
Phone: 909-630-7868    Fax: 909-630-7869
Mr. Carlos Alberto Baez, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2140 Grand Ave Ste 125, Chino Hills, CA 91709
Phone: 909-630-7875    Fax: 909-469-2107
Sula M Safar, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3110 Chino Ave Ste 150a, Chino Hills, CA 91709
Phone: 909-630-7490    Fax: 909-630-7491
Maria Leticia Valadez, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2140 Grand Ave Ste 125, Chino Hills, CA 91709
Phone: 909-630-7875    Fax: 909-630-7876

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.