NIKITA MUKESH SHAH (NPI# 1073889002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073889002 |
| Entity Type | Individual |
| Full Name | NIKITA MUKESH SHAH |
| Credential | MD |
| Practice Address |
425 Haaland Dr Ste 101 Thousand Oaks CA 91361-5230 |
| Mailing Address |
Po Box 512185 Los Angeles CA 90051-0185 |
| Practice Telephone | 8054962949 |
| Mailing Fax Number | 9722340813 |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2020-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | R7322 | TX | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 4301112575 | MI | Allopathic & Osteopathic Physicians |
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
A170065 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 387124602 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1350 First Colony Blvd, Sugar Land, TX 774794308 | 2812775200 | 2812777295 |
| 1500 E Medical Center Dr, 1st Floor Cancer Center, Ann Arbor, MI 481095916 | 7349366000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861983405 | Nikita Shah | Occupational Therapist | 6361 99th St Apt A14, Rego Park, NY 11374-2455 | 2018-05-18 |
| 1295243475 | Nikita Shah | Dentist | 210 W 5th St Apt 101, Kansas City, MO 64105-1165 | 2018-01-22 |
| 1801310313 | Nikita Shah | Optometrist | 62 Oakbrook Ctr, Oak Brook, IL 60523-1810 | 2017-07-27 |
| 1518312479 | Nikita Shah | Student in an Organized Health Care Education/Training Program | 28 Twinlawns Ave, Hicksville, NY 11801-1818 | 2016-04-28 |
| 1285959163 | Nikita Shah | Psychiatry & Neurology | 1000 E 24th St Unit Office53, Kansas City, MO 64108-2776 | 2010-04-02 |
| 1407485402 | Nikita Parag Shah | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Ave, Riverside, CA 92501-4199 | 2020-04-02 |
| 1669024139 | Nikita Shah | Internal Medicine | 1500 S Fairfield Ave, Chicago, IL 60608-1782 | 2019-07-15 |
| 1225503147 | Nikita Shah | Student in an Organized Health Care Education/Training Program | 240 E Huron St Ste 1-200, Chicago, IL 60611-2909 | 2018-10-06 |
| 1194211946 | Nikita Shah | Pharmacist | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2018-07-05 |
| 1649706540 | Nikita P Shah | Student in an Organized Health Care Education/Training Program | 1000 10th Ave, Suite 10c, New York, NY 10019-1147 | 2017-05-11 |
| Street Address |
425 HAALAND DR STE 101 |
| City | THOUSAND OAKS |
| State | CA |
| Zip Code | 91361-5230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861495475 | Ashwin Kashyap | Internal Medicine | 425 Haaland Dr Ste 101, Thousand Oaks, CA 91361-5230 | 2005-05-27 |
| 1326557885 | Stella Y Ortiz | Nurse Practitioner | 425 Haaland Dr Ste 101, Thousand Oaks, CA 91361-5230 | 2017-09-27 |
| 1831519784 | Alexander P. Hersel, Md, Inc | Durable Medical Equipment & Medical Supplies | 425 Haaland Dr Ste 101, Thousand Oaks, CA 91361-5230 | 2014-04-18 |
| 1528167830 | Bassam Ghanem | Internal Medicine | 425 Haaland Dr Ste 101, Thousand Oaks, CA 91361-5230 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093328379 | Lauren Kaprielian Davidson | Speech-Language Pathologist | Fox Therapy Services, 31822 Village Center Rd, Ste. 107, Westlake Village, CA 91361 | 2020-08-26 |
| 1679118749 | Min A Baek | Optometrist | 4353 Park Terrace Dr., #150, Westlake Village, CA 91361 | 2019-11-13 |
| 1417429952 | Kimberly Joanne Yudt | Behavioral Analyst | 660 Hampshire Road, Suite 100, Westlake Village, CA 91361 | 2018-12-21 |
| 1932671773 | Rachel Sonya Chistyakov | Marriage & Family Therapist | 32107 Undero Canyon Rd, Suite 203, Westlake Village, CA 91361 | 2018-12-18 |
| 1447778394 | Spirit Healthcare Hospice, Inc. | Hospice Care, Community Based | 30941 Agoura Rd., Suite 112, Westlake Village, CA 91361 | 2017-08-30 |
| 1023556313 | Lindsay Gooze | Marriage & Family Therapist | 38122 Village Center Rd., Ste.102, Westlake Village, CA 91361 | 2017-02-07 |
| 1851839419 | Casey J. Simon | Counselor | 1800 Bridgegate Street, Suite #108, Westlake Village, CA 91361 | 2017-02-03 |
| 1689124851 | David Schwartz | Marriage & Family Therapist | 30961 Agoura Rd Ste 215, Westlake Village, CA 91361 | 2016-10-11 |
| 1932655735 | Sherry Safavi | Counselor | 677 Colorado Blivd, Los Angeles, CA 91361 | 2016-08-31 |
| 1053795393 | Kashmir Trading Inc. | Durable Medical Equipment & Medical Supplies | 790 Hampshire Rd. Ste #b, Westlake Village, CA 91361 | 2015-07-16 |
| Find all providers in zip 91361 | ||||
| Taxonomy Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174888937 | Manabu Fujita | Surgery | 555 Marin St, Suite 210, Thousand Oaks, CA 91360-4236 | 2012-07-09 |
| 1154649796 | David D. Chi, M.d., F.a.c.s., A Medical Corp. | Surgery | 555 Marin Street, Suite 210, Thousand Oaks, CA 91360-4105 | 2010-05-06 |
| 1235384702 | Mai Brooks Md A Medical Corporation | Surgery | 2190 Lynn Rd, Suite 200, Thousand Oaks, CA 91360-1980 | 2008-11-24 |
| 1952315640 | Mai Brooks | Surgery | 2190 Lynn Rd, Suite 200, Thousand Oaks, CA 91360-1980 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801418702 | Farzad Alemi Md Inc | Surgery | 3628 E Imperial Hwy Ste 103, Lynwood, CA 90262-2600 | 2020-05-13 |
| 1699232801 | Megan Gregor | Surgery | One Hoag Dr., Bldg 41, Ste 122, Newport Beach, CA 92663 | 2019-02-24 |
| 1225511835 | Brendan Boland Md Inc | Surgery | 9001 Wilshire Blvd Ste 207, Beverly Hills, CA 90211-1843 | 2018-09-10 |
| 1508377409 | Curetology Surgical Oncology Medical Corporation & Associates | Surgery | 1127 Wilshire Blvd Ste 1604, Los Angeles, CA 90017-4007 | 2017-10-18 |
| 1770966178 | Sinziana Dumitra | Surgery | 1500 Durate Road California, Mob L001, Duarte, CA 91010 | 2015-07-02 |
| 1336572734 | Lana D Louie | Surgery | 18370 Burbank, Suite 607, Tarzana, CA 91356-2833 | 2013-08-21 |
| 1942544515 | Leland J Foshag, Md Inc | Surgery | 11818 Wilshire Blvd Ste 200, Los Angeles, CA 90025-6647 | 2012-11-20 |
| 1447516935 | Fank B Callipari X | Surgery | 14914 Huntington Gate Dr, Poway, CA 92064-6709 | 2012-04-09 |
| 1649549767 | Joseph Dotan | Surgery | 1618 Woodlands Rd, Beaumont, CA 92223-8569 | 2011-12-19 |
| 1679801609 | Carl Mason Sutherland II | Surgery | 539 28th Ave, San Mateo, CA 94403-2601 | 2009-12-02 |
| Find all providers with the same taxonomy | ||||
| City | THOUSAND OAKS |
| Zip Code | 91361 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.