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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | A40709 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD | 00A407090 | 01 |
| CA | 00A407090 | 05 |
| 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 |
| Street Address |
1805 MEDICAL CENTER DR |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92411-1217 |
| 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 |
| Find all providers in the same location | ||||
| 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 Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| 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. |
| 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 | ||||
| City | SAN BERNARDINO |
| Zip Code | 92411 |
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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.