KRUPA SHAH (NPI# 1083655369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083655369 |
| Entity Type | Individual |
| Full Name | KRUPA SHAH |
| Credential | M.D. |
| Practice Address |
1294 W 6th St Suite 204 San Pedro CA 90731-2987 |
| Practice Telephone | 3108325331 |
| Practice Fax Number | 3105210139 |
| Mailing Telephone | 3108325331 |
| Mailing Fax Number | 3105210139 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2014-03-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A42668 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A426680 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114217650 | Krupa Shah | Occupational Therapist | 17 Wellesley Rd, Parlin, NJ 08859-1223 | 2011-04-18 |
| 1609978253 | Krupa Shah | Family Medicine | 1000 South Ave # 58, Rochester, NY 14620-2733 | 2006-09-03 |
| 1205295060 | Krupa Shah | Nurse Practitioner | 1950 S Country Club Dr, Mesa, AZ 85210-6043 | 2016-02-22 |
| 1174968846 | Krupa Mahesh Shah | Internal Medicine | 1615 N Convent St Ste 1, Bourbonnais, IL 60914-1081 | 2013-05-07 |
| 1720232978 | Krupa Shah | Physician Assistant | 900 S Caton Avenue, Baltmore, MD 21229 | 2008-11-13 |
| Street Address |
1294 W 6TH ST SUITE 204 |
| City | SAN PEDRO |
| State | CA |
| Zip Code | 90731-2987 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346295391 | Andrew P Novom | Specialist | 1294 W 6th St, Ste#102, San Pedro, CA 90731-2987 | 2006-05-24 |
| 1093379091 | Graham Gage | Physical Therapist | 1294 W 6th St, San Pedro, CA 90731-2987 | 2019-04-24 |
| 1891197208 | Brandon Edenedo | Physical Therapist | 1294 W 6th St, Suite 101, San Pedro, CA 90731-2987 | 2014-09-17 |
| 1619213485 | Der-how Huang | Physical Therapist | 1294 W 6th St, 101, San Pedro, CA 90731-2987 | 2012-12-21 |
| 1023340627 | Alice Wang | Physical Therapist | 1294 W 6th St, Suite 101, San Pedro, CA 90731-2987 | 2010-02-05 |
| 1134380249 | Kimberly R Walton Md Inc | Obstetrics & Gynecology | 1294 W 6th St, 201-a, San Pedro, CA 90731-2987 | 2008-06-20 |
| 1003020231 | Borrowed Star Psychology Group, Inc | Psychologist | 1294 W 6th St, Suite 105, San Pedro, CA 90731-2987 | 2007-05-09 |
| 1962629162 | Great Harbor Family & Sports Medicine, Inc | General Practice | 1294 W 6th St, Suite 200, San Pedro, CA 90731-2987 | 2007-04-19 |
| 1851425417 | Cindy Baldonado | Physician Assistant | 1294 W 6th St, Suite 200, San Pedro, CA 90731-2987 | 2007-03-15 |
| 1699806703 | Shannon Farrell | Chiropractor | 1294 W 6th St, Suite 203, San Pedro, CA 90731-2987 | 2007-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962009464 | Jyoti Patel | Optometrist | 1701 Gaffey St., San Pedro, CA 90731 | 2020-10-07 |
| 1518513183 | Churairat Maffei | Technician | 1305 S Patton Ave, San Pedro, CA 90731 | 2019-08-09 |
| 1326692898 | Lori Marie Kroeker | Counselor | 235 W. 9th St, San Pedro, CA 90731 | 2019-08-01 |
| 1366960783 | Maria Elena Newcomer Dds Inc | Dentist | 847 W. 9th St., San Pedro, CA 90731 | 2017-09-06 |
| 1255875944 | Raymond J Mazuchowski Jr. | Dentist | 697 S Gaffery St, San Pedro, CA 90731 | 2016-12-14 |
| 1700235108 | Redina J Williams | Counselor | 559 W, 9th Street, San Pedro, CA 90731 | 2016-06-07 |
| 1649697764 | Leilani M. Sharpe | Psychiatry & Neurology | 222 W 6th St Ste 400, San Pedro, CA 90731 | 2014-03-26 |
| 1134418882 | Neema Rukiya Hardeman | Pediatrics | 2400 S Pacific Ave Bldg 30, San Pedro, CA 90731 | 2011-04-04 |
| 1477878148 | Karla Vanesa Cehua | Dental Assistant | 423n. Meyler St., San Pedro, CA 90731 | 2010-04-06 |
| 1023258183 | Deborah Anne Allsup | Acupuncturist | 732 W. 9th Street, #202, San Pedro, CA 90731 | 2009-03-03 |
| Find all providers in zip 90731 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841603586 | Ali Ahmad Medical Corp | Family Medicine | 350 W 5th St Ste 105, San Pedro, CA 90731-2751 | 2014-06-10 |
| 1922351303 | Medical Plaza of San Pedro Inc. | Family Medicine | 529 W 7th St, San Pedro, CA 90731-3115 | 2012-10-22 |
| 1700958667 | Phillip Edward Schoenwetter | Family Medicine | 787 W 9th St, San Pedro, CA 90731-3601 | 2006-11-15 |
| 1245321272 | David H Smith | Family Medicine | 1360 W 6th St Ste D, San Pedro, CA 90732-3554 | 2006-09-27 |
| 1598711319 | Angel George Angelow | Family Medicine | 1499 W 1st St, San Pedro, CA 90732-3255 | 2006-05-25 |
| 1629078969 | Allan I Larner | Family Medicine | 921 S Beacon St, San Pedro, CA 90731-3740 | 2005-07-28 |
| 1831660588 | Krupa Shah Md, A Professional Corporation | Family Medicine | 1294 W 6th St Ste 204, San Pedro, CA 90731-2998 | 2018-12-06 |
| 1114474350 | Shanna Lee Darling | Family Medicine | 1350 W 6th St, San Pedro, CA 90732-3544 | 2016-09-06 |
| 1760835086 | Dr. Gregory A. Smith, Md Inc. | Family Medicine | 715 S Averill Ave, San Pedro, CA 90732-3813 | 2016-07-21 |
| 1326396664 | Nathaniel Leong | Family Medicine | 1300 W 7th St, San Pedro, CA 90732-3505 | 2012-08-16 |
| Find all providers in SAN PEDRO | ||||
Please comment or provide details below to improve the information on KRUPA SHAH.
| 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.