Gautam Shah (NPI# 1063859502, PAC ID# 7517259955) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1063859502 |
| PAC ID by PECOS | 7517259955 |
| Professional Enrollment ID | I20160706000823 |
| Full Name | Gautam Shah |
| Organization Legal Name | NORTH COUNTY INPATIENT MEDICAL ALLIANCE, A MEDICAL GROUP, INC |
| Address |
354 Santa Fe Dr Encinitas CA 92024-5142 |
| Phone Number | 7602302551 |
| Gender | M |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 2013 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 3274503842 |
| Number of Group Practice Members | 36 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050503 | SCRIPPS MEMORIAL HOSPITAL - ENCINITAS |
| Address | Phone | Organization |
|---|---|---|
| 354 Santa Fe Dr, Encinitas, CA 92024-5142 | 7602302551 | NORTH COUNTY INPATIENT MEDICAL ALLIANCE, A MEDICAL GROUP, INC |
| Organization Legal Name | NORTH COUNTY INPATIENT MEDICAL ALLIANCE, A MEDICAL GROUP, INC |
| Physicians | 36 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samer Kanno | Internal Medicine | North County Inpatient Medical Alliance, A Medical Group, Inc | 354 Santa Fe Dr, Encinitas, CA 92024-5142 |
| Wesley Shih | Internal Medicine | North County Inpatient Medical Alliance, A Medical Group, Inc | 354 Santa Fe Dr, Encinitas, CA 92024-5142 |
| Kevin M Smith | Internal Medicine | North County Inpatient Medical Alliance, A Medical Group, Inc | 354 Santa Fe Dr, Encinitas, CA 92024-5142 |
| Victoria Mirza | Internal Medicine | North County Inpatient Medical Alliance, A Medical Group, Inc | 354 Santa Fe Dr, Encinitas, CA 92024-5142 |
| Sarah Jean Mcmurray | Internal Medicine | North County Inpatient Medical Alliance, A Medical Group, Inc | 354 Santa Fe Dr, Encinitas, CA 92024-5142 |
| Adrian Chechen Lai | Internal Medicine | North County Inpatient Medical Alliance, A Medical Group, Inc | 354 Santa Fe Dr, Encinitas, CA 92024-5142 |
| Don P Hammi | Internal Medicine | North County Inpatient Medical Alliance, A Medical Group, Inc | 354 Santa Fe Dr, Encinitas, CA 92024-5142 |
| Stephen Paul Schale | Internal Medicine | North County Inpatient Medical Alliance, A Medical Group, Inc | 354 Santa Fe Dr, Encinitas, CA 92024-5142 |
| Arezou Minooee | Internal Medicine | North County Inpatient Medical Alliance, A Medical Group, Inc | 354 Santa Fe Dr, Encinitas, CA 92024-5142 |
| Zaida M Botello | Internal Medicine | North County Inpatient Medical Alliance, A Medical Group, Inc | 354 Santa Fe Dr, Encinitas, CA 92024-5142 |
| Street Address |
354 SANTA FE DR |
| City | ENCINITAS |
| State | CA |
| Zip | 92024-5142 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samer Kanno | Internal Medicine | North County Inpatient Medical Alliance, A Medical Group, Inc | 354 Santa Fe Dr, Encinitas, CA 92024-5142 |
| Wesley Shih | Internal Medicine | North County Inpatient Medical Alliance, A Medical Group, Inc | 354 Santa Fe Dr, Encinitas, CA 92024-5142 |
| Bijan Roshan | Nephrology | Scripps Health | 354 Santa Fe Dr, Encinitas, CA 92024-5142 |
| Jamieson S Glenn | Orthopedic Surgery | Scripps Health | 354 Santa Fe Dr, Encinitas, CA 92024-5142 |
| Douglas K Fenton | Obstetrics/gynecology | Scripps Health | 354 Santa Fe Dr, Encinitas, CA 92024-5142 |
| Kevin M Smith | Internal Medicine | North County Inpatient Medical Alliance, A Medical Group, Inc | 354 Santa Fe Dr, Encinitas, CA 92024-5142 |
| Krista Ann Mason | Nurse Practitioner | Emergency Medicine Group of Encinitas, Inc | 354 Santa Fe Dr, Encinitas, CA 92024-5142 |
| Victoria Mirza | Internal Medicine | North County Inpatient Medical Alliance, A Medical Group, Inc | 354 Santa Fe Dr, Encinitas, CA 92024-5142 |
| Neal J Aaron | Emergency Medicine | Emergency Medicine Group of Encinitas, Inc | 354 Santa Fe Dr, Encinitas, CA 92024-5142 |
| James A Garvey | Emergency Medicine | Emergency Medicine Group of Encinitas, Inc | 354 Santa Fe Dr, Encinitas, CA 92024-5142 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Brunst | General Practice | 477 N Camino Real, Suite 200, Encinitas, CA 92024 | |
| Gourab Das | Physician Assistant | Robert F Brunst Md Phd Inc | 477 N Camino Real, Encinitas, CA 92024 |
| Glenn B Frieder | Chiropractic | 1816 B Eucalyptus Ave, Encinitas, CA 92024-1106 | |
| Joanna R Louis | Psychiatry | 1853 N Vulcan Ave, Encinitas, CA 92024-1151 | |
| Alberto Bessudo | Hematology/oncology | California Cancer Associates for Research and Excellence, Inc.. | 447 N El Camino Real, D200, Encinitas, CA 92024-1302 |
| Marti Lynn Willey | Nurse Practitioner | California Cancer Associates for Research and Excellence, Inc.. | 447 N El Camino Real, D200, Encinitas, CA 92024-1302 |
| Pushpendu Banerjee | Medical Oncology | California Cancer Associates for Research and Excellence, Inc.. | 447 N El Camino Real, D200, Encinitas, CA 92024-1302 |
| Cortney D Franz | Nurse Practitioner | California Cancer Associates for Research and Excellence, Inc.. | 447 N El Camino Real, D200, Encinitas, CA 92024-1302 |
| Laurie A Frakes | Hematology/oncology | California Cancer Associates for Research and Excellence, Inc.. | 447 N El Camino Real, D200, Encinitas, CA 92024-1302 |
| Jennifer Hope Levine | Physician Assistant | California Cancer Associates for Research and Excellence, Inc.. | 447 N El Camino Real, D200, Encinitas, CA 92024-1302 |
| Find all physicians in zip 92024 | |||
| City | ENCINITAS |
| Zip Code | 92024 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | ENCINITAS + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Gautam Shah.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.