Shibani Sunilkumar Shah, | |
1441 Avocado Ave Ste 409, Newport Beach, CA 92660-7705 | |
(949) 640-4501 | |
(949) 640-0741 |
Full Name | Shibani Sunilkumar Shah |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 1441 Avocado Ave Ste 409, Newport Beach, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326719063 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 95063243 (California) | Secondary |
363L00000X | Nurse Practitioner | 95018730 (California) | Primary |
Entity Name | J Robert West Md Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932154788 PECOS PAC ID: 8729990973 Enrollment ID: O20031105000239 |
Entity Name | Huntington Dermatology Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275664435 PECOS PAC ID: 6709821697 Enrollment ID: O20050621001323 |
Entity Name | Csi Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871909804 PECOS PAC ID: 5890916845 Enrollment ID: O20141016001930 |
Mailing Address | Practice Location Address |
---|---|
Shibani Sunilkumar Shah, 6399 San Ignacio Ave Ste 120, San Jose, CA 95119-1215 Ph: (714) 312-9701 | Shibani Sunilkumar Shah, 1441 Avocado Ave Ste 409, Newport Beach, CA 92660-7705 Ph: (949) 640-4501 |
Mrs. Kena Gunter, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2071 San Joaquin Hills Rd, Newport Beach, CA 92660 Phone: 949-759-1720 | |
Ms. Kay R Collier, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 351 Hospital Rd Ste 401, Newport Beach, CA 92663 Phone: 949-642-6787 Fax: 949-642-4833 | |
Michael Nash, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Hoag Dr, Newport Beach, CA 92663 Phone: 949-764-8376 | |
Olivia Taylor Defilippo, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4631 Teller Ave Ste 100, Newport Beach, CA 92660 Phone: 949-887-7187 | |
Miki Stacy Ohata, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3900 W Coast Hwy Ste 310, Newport Beach, CA 92663 Phone: 949-478-8858 | |
Mallory Marino, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Hoag Dr, Newport Beach, CA 92663 Phone: 949-421-7019 | |
Linda Joyce Buck, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1601 Avocado Ave, Newport Beach, CA 92660 Phone: 949-763-2204 Fax: 949-536-8036 |