Shachi J Shah (NPI# 1053483883, PAC ID# 9830373737) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1053483883 |
| PAC ID by PECOS | 9830373737 |
| Professional Enrollment ID | I20110418000186 |
| Full Name | Shachi J Shah |
| Organization Legal Name | PERMANENTE MEDICAL GROUP INC |
| Address |
4501 Sand Creek Rd Antioch CA 94531-8687 |
| Phone Number | 9258136500 |
| Gender | F |
| Graduation Year | 1994 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 8921910225 |
| Number of Group Practice Members | 6775 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050760 | KAISER FOUNDATION HOSPITAL - ANTIOCH |
| 050072 | KAISER FOUNDATION HOSPITAL - WALNUT CREEK |
| Address | Phone | Organization |
|---|---|---|
| 4501 Sand Creek Rd, Antioch, CA 94531-8687 | 9258136500 | PERMANENTE MEDICAL GROUP INC |
| 901 Nevin Ave, Richmond, CA 94801-3143 | 5103071500 | PERMANENTE MEDICAL GROUP INC |
| 1425 S Main St, Walnut Creek, CA 94596-5318 | 9252954000 | PERMANENTE MEDICAL GROUP INC |
| 1515 Newell Ave, Walnut Creek, CA 94596-5120 | 9252954000 | PERMANENTE MEDICAL GROUP INC |
| Organization Legal Name | PERMANENTE MEDICAL GROUP INC |
| Physicians | 9623 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Kailean Mchugh | Otolaryngology | Permanente Medical Group Inc | 7300 Wyndham Dr, Sacramento, CA 95823-4913 |
| Catherine J. Choi | Ophthalmology | Permanente Medical Group Inc | 320 Lennon Ln, Walnut Creek, CA 94598-2419 |
| Justin M Leazenby | Psychologist, Clinical | Permanente Medical Group Inc | 800 Sereno Dr, Vallejo, CA 94589-2411 |
| Crissy A Bankston | Psychologist, Clinical | Permanente Medical Group Inc | 3454 Hillcrest Ave, Antioch, CA 94531-8238 |
| Frank W Lien | Family Medicine | Permanente Medical Group Inc | 1190 Veterans Blvd, Redwood City, CA 94063-2037 |
| Mona Collado Ferrer-kaw | Psychiatry | Permanente Medical Group Inc | 111 Smith Ranch Rd, San Rafael, CA 94903-1939 |
| Matthew J Holland | Psychologist, Clinical | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Shawn M Youngs | Family Medicine | Permanente Medical Group Inc | 10305 Promenade Pkwy, Elk Grove, CA 95757-9400 |
| Kristin G Leach | Family Medicine | Permanente Medical Group Inc | 9201 Big Horn Blvd, Elk Grove, CA 95758-1240 |
| Valerie M Tiscareno | Qualified Audiologist | Permanente Medical Group Inc | 15 Southgate Ave, Daly City, CA 94015-1413 |
| Street Address |
4501 SAND CREEK RD |
| City | ANTIOCH |
| State | CA |
| Zip | 94531-8687 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda L Ashton-sager | Pathology | Permanente Medical Group Inc | 4501 Sand Creek Rd, Antioch, CA 94531-8687 |
| Jeffrey L Wang | Internal Medicine | Permanente Medical Group Inc | 4501 Sand Creek Rd, Antioch, CA 94531-8687 |
| James F Chan | Internal Medicine | Permanente Medical Group Inc | 4501 Sand Creek Rd, Antioch, CA 94531-8687 |
| Mai N Nguyen-huynh | Neurology | Permanente Medical Group Inc | 4501 Sand Creek Rd, Antioch, CA 94531-8687 |
| Jamal Raji Mogannam | Nephrology | Permanente Medical Group Inc | 4501 Sand Creek Rd, Antioch, CA 94531-8687 |
| Raj V Dasari | Family Medicine | Permanente Medical Group Inc | 4501 Sand Creek Rd, Antioch, CA 94531-8687 |
| Paul C Korn | Internal Medicine | Permanente Medical Group Inc | 4501 Sand Creek Rd, Antioch, CA 94531-8687 |
| Daniel Y Chung | Gastroenterology | Permanente Medical Group Inc | 4501 Sand Creek Rd, Antioch, CA 94531-8687 |
| Marzban Rad | Diagnostic Radiology | Permanente Medical Group Inc | 4501 Sand Creek Rd, Antioch, CA 94531-8687 |
| Erin R Deihl | Internal Medicine | Permanente Medical Group Inc | 4501 Sand Creek Rd, Antioch, CA 94531-8687 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott T Sakata | Optometry | Eileen M Linder Optometrist Inc | 4051 Lone Tree Way, Suite E, Antioch, CA 94531-6204 |
| Eileen Marie Linder | Optometry | Eileen M Linder Optometrist Inc | 4051 Lone Tree Way, Suite E, Antioch, CA 94531-6204 |
| Mary Jane Garnett | Qualified Audiologist | 4045 Lone Tree Way, Suite D, Antioch, CA 94531-6206 | |
| Martin D Schneider | Physical Therapy | 4041 Lone Tree Way, Suite 106, Antioch, CA 94531-6208 | |
| Ben-hwa Hu | Emergency Medicine | Sutter Bay Medical Foundation | 4053 Lone Tree Way, Suite 101, Antioch, CA 94531-6210 |
| Sanna Fatima | Internal Medicine | Sutter Bay Medical Foundation | 4053 Lone Tree Way, Suite 100, Antioch, CA 94531-6210 |
| Christopher L Solis | General Surgery | Sutter Bay Medical Foundation | 4053 Lone Tree Way, Suite 200, Antioch, CA 94531-6210 |
| Maddiha Payami | Family Medicine | Sutter Bay Medical Foundation | 4053 Lone Tree Way, Suite 101, Antioch, CA 94531-6210 |
| Fatima Memon Syed | Internal Medicine | Sutter Bay Medical Foundation | 4053 Lone Tree Way, Suite 101, Antioch, CA 94531-6210 |
| Aileen Jadallah Jaber | Emergency Medicine | Sutter Bay Medical Foundation | 4053 Lone Tree Way, Suite 101, Antioch, CA 94531-6210 |
| Find all physicians in zip 94531 | |||
| City | ANTIOCH |
| Zip Code | 94531 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | ANTIOCH + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
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| 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.