PUJA DIPAKKUMAR SHAH (NPI# 1659639144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659639144 |
| Entity Type | Individual |
| Full Name | PUJA DIPAKKUMAR SHAH |
| Credential | FNP, CMSRN |
| Practice Address |
1421 E 17th St Santa Ana CA 92705-8505 |
| Practice Telephone | 7149224100 |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2012-08-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WG0000X |
Registered Nurse Specialization: General Practice |
RN 700630 | CA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
NP 21691 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245844927 | Puja Shah | Dentist | 602 S Bethlehem Pike Ste C2, Ambler, PA 19002-5800 | 2020-09-01 |
| 1518584317 | Puja Shah | Pharmacist | 10814 Cory Lake Dr, Tampa, FL 33647-2783 | 2020-06-29 |
| 1558675942 | Puja Shah | Optometrist | 3220 W Armitage Ave, Chicago, IL 60647-3797 | 2010-07-28 |
| 1336627561 | Puja Shah | Physician Assistant | 200 Hawthorne Ln, Charlotte, NC 28204 | 2018-07-31 |
| 1528434255 | Puja Shah | Pharmacist | 6100 Arlington Blvd, Falls Church, VA 22044-2901 | 2015-08-17 |
| 1003235722 | Puja Shah | Counselor | 1001 Rohlwing Rd, Elk Grove Vlg, IL 60007-3217 | 2014-04-09 |
| 1366701468 | Puja Shah | Case Manager/Care Coordinator | 605 W Olympic Blvd Ste 600, Los Angeles, CA 90015-1475 | 2012-05-09 |
| 1982985511 | Puja Shah | Pharmacist | 7960 W 159th St, Orland Park, IL 60462-5038 | 2011-09-09 |
| 1407142680 | Puja R Shah | Anesthesiology | 24 Stevens St, Norwalk, CT 06850-3852 | 2011-06-25 |
| 1760648935 | Puja Shah | Dentist | 333 S Broadway, Hicksville, NY 11801-5005 | 2008-08-06 |
| Street Address |
1421 E 17TH ST |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92705-8505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063481562 | Planned Parenthood of Orange and San Bernardino Counties | Clinic/Center | 1421 E 17th St, Santa Ana, CA 92705-8505 | 2006-03-16 |
| 1336693324 | Laura Nicole Tubbs | Registered Nurse | 1421 E 17th St, Santa Ana, CA 92705-8505 | 2016-08-08 |
| 1154700102 | Caroline Phalen Cowdrey | Registered Nurse | 1421 E 17th St, Santa Ana, CA 92705-8505 | 2015-05-22 |
| 1093826620 | Judy H. Chan | Nurse Practitioner | 1421 E 17th St, Santa Ana, CA 92705-8505 | 2006-08-31 |
| 1013029370 | Mary Amparo Sedo | Nurse Practitioner | 1421 E 17th St, Santa Ana, CA 92705-8505 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952919763 | John G. Alevizos, D.o., A Professional Medical Corporation | Preventive Medicine | 1530 East Edinger Avenue, Suite 1, Santa Ana, CA 92705 | 2020-07-17 |
| 1477186625 | Joyce Altman Interpreters, Inc. | Interpreter | 1971 East 4th Street, Ste 206, Santa Ana, CA 92705 | 2020-02-17 |
| 1588214688 | Cindy Mejia | Behavior Technician | 505 N. Tustin Ave., #152, Santa Ana, CA 92705 | 2019-09-19 |
| 1588210504 | Jennifer Ang Lim-quevedo | Nurse Practitioner | 18362 Whitney Dr, Santa Ana, CA 92705 | 2019-08-15 |
| 1962056820 | Melinda Acosta Black | Social Worker | 1526 Brookhollow Drive, Santa Ana, CA 92705 | 2019-07-30 |
| 1972069631 | Amy Marie Elit | Nurse Practitioner | 1751 E Harry Ave, Santa Ana, CA 92705 | 2019-02-18 |
| 1386118180 | Unified Behavioral Health, LLC | Substance Abuse Rehabilitation Facility | 1218 W Santa Ana Blvd, Santa Ana, CA 92705 | 2019-01-15 |
| 1952884736 | Javier Perales | Social Worker | 1652 Windsor Ln, Santa Ana, CA 92705 | 2018-09-08 |
| 1073009700 | Eva E Kuncewicki | Marriage & Family Therapist | 1001 S Grand Ave # B, Santa Ana, CA 92705 | 2018-07-05 |
| 1487149886 | Nimbus Medtransport Inc. | Non-emergency Medical Transport (VAN) | 2112 E 4th St Ste 235, Santa Ana, CA 92705 | 2018-06-27 |
| Find all providers in zip 92705 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356951834 | Kim Merchain | Nurse Practitioner | 130 N Fairview St, Santa Ana, CA 92703-3472 | 2020-08-09 |
| 1831664085 | Clemrose Go | Nurse Practitioner | 809 S Main St, Santa Ana, CA 92701-5719 | 2018-10-03 |
| 1083199194 | Federico Augusto Torres | Nurse Practitioner | 1331 W Central Ave Apt 37, Santa Ana, CA 92704-5774 | 2018-09-25 |
| 1386121697 | Samantha Sanh Chan | Nurse Practitioner | 1525 W San Lorenzo Ave, Santa Ana, CA 92704-6225 | 2018-07-20 |
| 1558854612 | Laura Fessler | Nurse Practitioner | 3501 S. Harbor Blvd, Santa Ana, CA 92704 | 2018-06-12 |
| 1891216370 | Ngoc Kim Nguyen | Nurse Practitioner | 18912 Fowler Ave, Santa Ana, CA 92705-1217 | 2017-07-05 |
| 1427413947 | Rhodora Neu | Nurse Practitioner | 3401 W. Sunflower Avenue, Suite 250, Santa Ana, CA 92704 | 2015-12-28 |
| 1275906711 | Caremore Health Plan | Nurse Practitioner | 1945 E. 17th St., Suite 101, Santa Ana, CA 92705 | 2015-11-05 |
| 1962895334 | Samantha Zimmerman | Nurse Practitioner | 3401 S Main St, Unit K, Santa Ana, CA 92707-4306 | 2015-03-10 |
| 1306265798 | Alma Isabel Velasco | Nurse Practitioner | 617 S Ross St, Santa Ana, CA 92701-5564 | 2014-04-14 |
| Find all providers in SANTA ANA | ||||
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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.