SAMIR A SHAH MD PROFESSIONAL CORPORATION (NPI# 1700197365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700197365 |
| Entity Type | Organization |
| Organization Name | SAMIR A SHAH MD PROFESSIONAL CORPORATION |
| Other Organization Name | BEACH EYE MEDICAL GROUP |
| Practice Address |
19582 Beach Blvd Ste 322 Huntington Beach CA 92648-2996 |
| Practice Telephone | 7149659696 |
| Practice Fax Number | 7149659797 |
| Mailing Telephone | 7149659696 |
| Mailing Fax Number | 7149659797 |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2010-08-17 |
| Authorized Official Name | DR. SAMIR SHAH (PHYSICIAN) |
| Authorized Official Telephone | 7149659696 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | Eye and Vision Services Providers | ||
| Y | 207W00000X | Ophthalmology | A85961 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Beach Eye Medical Group | Doing Business As Name - Organization |
| Street Address |
19582 BEACH BLVD STE 322 |
| City | HUNTINGTON BEACH |
| State | CA |
| Zip Code | 92648-2996 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023011384 | An Duy Nguyen | Specialist | 19582 Beach Blvd, Ste 212, Huntington Beach, CA 92648-2996 | 2005-05-31 |
| 1538516893 | Linh Khanh Doan | Pharmacist | 19582 Beach Blvd, #118, Huntington Beach, CA 92648 | 2016-05-17 |
| 1033579925 | Christopher Johnston | Physical Therapist | 19582 Beach Blvd, Suite 130, Huntington Beach, CA 92648-2996 | 2016-03-04 |
| 1497126007 | Rachel Kramer | Physician Assistant | 19582 Beach Blvd, 314, Huntington Beach, CA 92648-2996 | 2015-10-08 |
| 1003283110 | The Cancer Treatment Center of Orange County Medical Group Inc | Internal Medicine | 19582 Beach Blvd, Suite 270, Huntington Beach, CA 92648-2996 | 2015-08-24 |
| 1568856292 | Virginia Hinkle | Nurse Practitioner | 19582 Beach Blvd, Huntington Beach, CA 92648-2996 | 2015-03-19 |
| 1487044723 | Dustin Noah Tawatao | Registered Nurse | 19582 Beach Blvd, Suite 180, Huntington Beach, CA 92648-2996 | 2015-01-26 |
| 1811394349 | Children's Hospital of Orange County | Pediatrics | 19582 Beach Blvd, Suite 380, Huntington Beach, CA 92648-2996 | 2014-11-26 |
| 1265869523 | California Therapy Solutions | Specialist | 19582 Beach Blvd, Suite 310, Huntington Beach, CA 92648-2996 | 2013-10-02 |
| 1801222039 | Mp Advanced Neurology, Inc. | Psychiatry & Neurology | 19582 Beach Blvd, Huntington Beach, CA 92648-2996 | 2013-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861009870 | Nutrition By Gwen Consulting | Dietitian, Registered | 11821 Delaware St. Ste. 236, Huntington Beach, CA 92648 | 2020-09-24 |
| 1679131668 | Honey Dixit | Marriage & Family Therapist | 18992 Florida Street, Apt No. G6, Huntington Beach, CA 92648 | 2019-06-04 |
| 1326525361 | Gold Standard Recovery Services, LLC | Substance Abuse Rehabilitation Facility | 2319 Whitesands Dr Unit 3 & 4, Huntington Beach, CA 92648 | 2018-07-23 |
| 1336690338 | Douglas Chee | Physician Assistant | 1400 Pacific Coast Hwy Apt 201, Huntington Beach, CA 92648 | 2016-10-14 |
| 1801343124 | Serena Trang Ta | Dentist | 18700 Main St Ste 203, Huntington Beach, CA 92648 | 2016-09-02 |
| 1659826485 | Griffo Chiropractic Center Inc | Chiropractor | 18811 Huntington St Ste 100b, Huntington Beach, CA 92648 | 2016-08-22 |
| 1184076143 | Kaely Mcdevitt | Dietitian, Registered | 19400 Beach Blvd Ste 1, Huntington Beach, CA 92648 | 2016-07-01 |
| 1699123885 | Jack Petti | Clinical Medical Laboratory | 226 6th Street, Huntington Beach, CA 92648 | 2016-05-27 |
| 1275980880 | David Whitehouse | Pharmacist | 7989 Aldea Circle, Huntington Beach, CA 92648 | 2016-05-24 |
| 1265886345 | Kimberly Lank | Pediatrics | 19582 Beach Blvd Ste 360, Huntington Beach, CA 92648 | 2016-04-14 |
| Find all providers in zip 92648 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144881186 | Pacifica Laser Eye Center | Ophthalmology | 18800 Main St Ste 101, Huntington Beach, CA 92648-1717 | 2019-06-20 |
| 1295177608 | David Louis Kazan | Ophthalmology | 401 15th St, Huntington Beach, CA 92648-4203 | 2013-07-26 |
| 1003163940 | Jeffrey Quitman | Ophthalmology | 18685 Calera Ln, Huntington Beach, CA 92648-6827 | 2012-08-09 |
| 1609071323 | Robert G. Starr M.d., Inc | Ophthalmology | 7677 Center Ave Ste 204, Huntington Beach, CA 92647-9102 | 2007-06-21 |
| 1306989017 | Katerina Kurteeva | Ophthalmology | 19671 Beach Blvd Ste 400, Huntington Beach, CA 92648-5930 | 2007-02-14 |
| 1306909403 | Hani Salehi-had | Ophthalmology | 7777 Edinger Ave, Suite 234, Huntington Beach, CA 92647-3601 | 2006-12-19 |
| 1164500633 | Patrick Glenn Mccaffery | Ophthalmology | 6792 Jardines Dr, Huntington Beach, CA 92647-6628 | 2006-11-01 |
| 1235224973 | Roberto Rende | Ophthalmology | 16830 Algonquin St, Huntington Beach, CA 92649-3882 | 2006-10-04 |
| 1871545434 | Samir Ashok Shah | Ophthalmology | 18582 Main St, Attn: Traill Mccabe, Huntington Beach, CA 92648-1701 | 2006-05-16 |
| 1033174040 | Antoine K Fahd | Ophthalmology | 19671 Beach Blvd, Suite 400, Huntington Beach, CA 92648-5901 | 2006-04-20 |
| Find all providers in HUNTINGTON BEACH | ||||
| City | HUNTINGTON BEACH |
| Zip Code | 92648 |
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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.