SMITA JAYPRAKASH SHAH


Address: 1805 Medical Center Dr, San Bernardino, CA 92411-1217
Phone: 9098876333

SMITA JAYPRAKASH SHAH (NPI# 1255349379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255349379
Entity Type Individual
Full Name SMITA JAYPRAKASH SHAH
Credential M.D.
Practice Address 1805 Medical Center Dr
San Bernardino
CA 92411-1217
Mailing Address 2923 Bradley St
Ste 120
Pasadena
CA 91107
Practice Telephone 9098876333
Practice Fax Number 9098879565
Mailing Telephone 6267956596
Mailing Fax Number 7707016655
Enumeration Date 2006-08-04
Last Update Date 2019-09-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207L00000X Anesthesiology A40709 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA BLUE SHIELD 00A407090 01
CA 00A407090 05

Other Providers SMITA SHAH

NPI Name Taxonomy Address Enumeration
1063587640 Smita J Shah Internal Medicine 6905 Cermak Rd Ste A, Berwyn, IL 60402-2175 2006-11-21
1104173426 Smita Shah Dentist 530 S Monroe St, Monroe, MI 48161-2224 2012-08-06
1790847903 Smita Shah Internal Medicine 3000 Q St Fl 2, Sacramento, CA 95816-7058 2006-12-14
1063454817 Smita S Shah Internal Medicine 4601 Whitesburg Dr S, Suite 101, Huntsville, AL 35802-1676 2006-06-12

Office Location

Street Address 1805 MEDICAL CENTER DR
City SAN BERNARDINO
State CA
Zip Code 92411-1217

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952306136 Renaissance Radiology Medical Group, Inc. Radiology 1805 Medical Center Dr, San Bernardino, CA 92411-1217 2005-06-15
1356973747 Cep America - Neurology PC Psychiatry & Neurology 1805 Medical Center Dr, San Bernardino, CA 92411-1217 2020-02-04
1750875266 Michelle Karoline Fischer Dietitian, Registered 1805 Medical Center Dr, San Bernardino, CA 92411-1217 2018-06-18
1083128839 Southland Anesthesia Consultants Inc Nurse Anesthetist, Certified Registered 1805 Medical Center Dr, San Bernardino, CA 92411-1217 2017-11-30
1902275639 James E Hill Physician Assistant 1805 Medical Center Dr, San Bernardino, CA 92411-1217 2015-09-23
1427427715 Udara Samarasinghe Physician Assistant 1805 Medical Center Dr, San Bernardino, CA 92411 2015-09-17
1841623238 Jonathan Angel Lozano Physician Assistant 1805 Medical Center Dr, Attention Er Dept, San Bernardino, CA 92411-1217 2013-08-20
1538401856 Theresa Win Internal Medicine 1805 Medical Center Dr, San Bernardino, CA 92411 2013-03-25
1134470446 Jillian Allard Physician Assistant 1805 Medical Center Dr, San Bernardino, CA 92411-1217 2012-09-26
1770860587 Keyes Medical Services A Professional Corporation Anesthesiology 1805 Medical Center Dr, San Bernardino, CA 92411-1217 2011-11-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619537016 Shaunice Renee Cox Case Manager/Care Coordinator 1604 Pennsylvania Street, San Bernardino, CA 92411 2019-06-18
1104327543 Wilson Gomer M.d. Professional Medical Corporation Clinic/Center 1800 Western Ave Ste 103, San Bernardino, CA 92411 2018-02-21
1467883504 Pedro Lynn Hayes Nurse Practitioner 1800 Medical Center Dr. #99, San Bernardono, CA 92411 2013-11-27
1184973505 Maria G Villasenor Perez Social Worker 1002 W 7th St, San Bernardino, CA 92411 2012-08-30
1003140948 Joe Mawad Obstetrics & Gynecology 1800 Western Ave Ste 204, San Bernardino, CA 92411 2009-09-24
1124255146 Angie Bagheri Cook Pediatrics 565 N. Mount Vernon Ave, San Bernardino, CA 92411 2009-06-17
1770637365 Paul Anthony Tenette Pharmacist Delta Drugs, 1666 N Medical Center Drive, San Bernadino, CA 92411 2007-01-22
1225117328 Vinod Kumar Kaura Internal Medicine 1800 N Western Ave #303, San Bernardino, CA 92411 2006-11-02
1861582314 Cecilia Talpa Quinones Physician Assistant 565 N. Mount Vernon Ave., San Bernardino, CA 92411 2006-10-13
1710075247 Bramara Arya Pediatrics 1505 W. 17th Street, San Bernardino, CA 92411 2006-10-10
Find all providers in zip 92411

Taxonomy Information

Taxonomy Code 207L00000X
Grouping Allopathic & Osteopathic Physicians
Classification Anesthesiology

Taxonomy Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982629499 Carmencita Japlit Coronel Anesthesiology 1805 Medical Center Drive, San Bernardino, CA 92411 2006-07-13
1992797153 Young A Suk Anesthesiology 2101 N Waterman Ave, San Bernardino, CA 92404-4836 2005-08-15
1154984706 Antonio Moreno Anesthesiology 2101 N Waterman Ave, San Bernardino, CA 92404-4836 2019-04-18
1316290521 Armen George Kara Anesthesiology 2101 N Waterman Ave, San Bernardino, CA 92404-4836 2012-10-25
1518214238 Cheryl Osorio Md Inc Anesthesiology 4130 Hallmark Pkwy, San Bernardino, CA 92407-7712 2012-08-13
1770860587 Keyes Medical Services A Professional Corporation Anesthesiology 1805 Medical Center Dr, San Bernardino, CA 92411-1217 2011-11-08
1821386848 Chima Sean Nzerem Anesthesiology 2101 N Waterman Ave, San Bernardino, CA 92404-4836 2011-07-11
1205129434 Joseph S Rastrollo Md A Professional Corporation Anesthesiology 1805 Medical Center Dr, San Bernardino, CA 92411-1217 2011-05-20
1538452131 Adrian V Reyes Md Inc Anesthesiology 1805 Medical Center Dr, San Bernardino, CA 92411-1217 2011-05-16
1265695910 Vaprnet Anesthesiology Network Anesthesiology 1805 Medical Center Dr, San Bernardino, CA 92411-1217 2008-07-02
Find all providers in SAN BERNARDINO

Competitor

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City SAN BERNARDINO
Zip Code 92411

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Dataset Information

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.

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