SELINA SHAH (NPI# 1205995958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205995958 |
| Entity Type | Individual |
| Full Name | SELINA SHAH |
| Credential | MD |
| Practice Address |
2255 Ygnacio Valley Rd Walnut Creek CA 94598-3343 |
| Practice Telephone | 2597953279 |
| Practice Fax Number | 9253573199 |
| Mailing Telephone | 2597953279 |
| Mailing Fax Number | 9253573199 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2019-10-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
A83067 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL LICENSE | A83067 | 01 |
| Street Address |
2255 YGNACIO VALLEY RD |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94598-3343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902804289 | Marvin L Engel | Dermatology | 2255 Ygnacio Valley Rd, B1, Walnut Creek, CA 94598-3343 | 2005-07-12 |
| 1104462852 | Daniel Ryan Blanchard | Physical Therapist | 2255 Ygnacio Valley Rd, Walnut Creek, CA 94598-3343 | 2019-11-18 |
| 1942843578 | Mary Katherine Baker | Physical Therapist | 2255 Ygnacio Valley Rd, Walnut Creek, CA 94598-3343 | 2019-10-27 |
| 1194172510 | 360 Medical Weight Specialists | Internal Medicine | 2255 Ygnacio Valley Rd, Suite G, Walnut Creek, CA 94598-3343 | 2016-05-16 |
| 1649504291 | Melissa Sylvia Pattee | Physician Assistant | 2255 Ygnacio Valley Rd, Walnut Creek, CA 94598-3343 | 2009-09-30 |
| 1821235425 | Helen L Stacey | Internal Medicine | 2255 Ygnacio Valley Rd, Suite A, Walnut Creek, CA 94598-3343 | 2009-01-19 |
| 1265685820 | Pacer Physical Therapy, Inc. | Specialist | 2255 Ygnacio Valley Rd, Suite E, Walnut Creek, CA 94598-3343 | 2008-10-28 |
| 1457536088 | Rashmi Jain | Internal Medicine | 2255 Ygnacio Valley Rd, Suite N, Walnut Creek, CA 94598-3343 | 2008-01-02 |
| 1447318381 | Daniel John Ilano Bajada | Physical Therapist | 2255 Ygnacio Valley Rd, Suite E, Walnut Creek, CA 94598-3343 | 2006-12-04 |
| 1205947348 | Tania Frangien Bajada | Physical Therapist | 2255 Ygnacio Valley Rd, Suite E, Walnut Creek, CA 94598-3343 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639716608 | Tasnim Diaf Moulton | Counselor | 2730 Shadelands Drive, Walnut Creek, CA 94598 | 2019-12-09 |
| 1790255370 | Harmony Grace Davis | Behavior Technician | 2730 Shadelands Drive Bldg 10, Walnut Creek, CA 94598 | 2018-11-27 |
| 1922583772 | Melissa Anne Mcgovern | Behavioral Analyst | 2370 Shadelands Drive, Bldg 10, Walnut Creek, CA 94598 | 2018-09-27 |
| 1184108367 | Brett Heflin Woodrufff | Behavior Technician | 2730 Shandeland Dr. Building 10, Walnut Creek, CA 94598 | 2018-09-24 |
| 1710411640 | Mandy Wei | Pharmacist | 2880 Shadeland Dr, Suite 201, Walnut Creek, CA 94598 | 2017-04-18 |
| 1437683497 | Hayley Miller | Student in an Organized Health Care Education/Training Program | 2204 Lomond Lane, Walnut Creek, CA 94598 | 2017-04-17 |
| 1043601594 | Marlene Perez Riedel | Nurse Practitioner | 450 North Wiget Lane, Walnut Creek, CA 94598 | 2015-02-05 |
| 1922418904 | Dante Michael Sorrentino | Ophthalmology | Kaiser Permanente Park Shadelands Medical Offices, 320 Lennon Lane, Walnut Creek, CA 94598 | 2014-04-30 |
| 1194156505 | Robert Harrison Hubbell | Obstetrics & Gynecology | 838 Stonehaven Dr, Walnut Creek, CA 94598 | 2013-12-11 |
| 1174954192 | Paul Mead | Orthopaedic Surgery | 2405 Shadelands Dr Ste 300, Walnut Creek, CA 94598 | 2013-12-01 |
| Find all providers in zip 94598 | ||||
| Taxonomy Code | 207RS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sports Medicine |
| An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346723277 | Michael J Burns Md Inc | Internal Medicine | 1777 Botelho Dr Ste 110, Walnut Creek, CA 94596-5083 | 2018-09-06 |
| 1396823480 | Jeffrey J. Malone | Internal Medicine | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295366318 | Phillip S Bland Md Inc | Internal Medicine | 1127 Wilshire Blvd Ste 1010, Los Angeles, CA 90017-4001 | 2020-01-28 |
| 1679936090 | Benjamin Schanker | Internal Medicine | 817 Coffee Rd Ste B, Modesto, CA 95355-4241 | 2016-04-02 |
| 1245697440 | Pure Occupational and Sports Medicine Corporation | Internal Medicine | 1171 S Robertson Blvd Ste 242, Los Angeles, CA 90035-1403 | 2016-01-20 |
| 1942566872 | Edward Cheung | Internal Medicine | 100 Ucla Medical Plaza Suite 755, Los Angeles, CA 90095-8358 | 2012-04-04 |
| 1356671861 | Chin Se Kim, Md Inc | Internal Medicine | 1736 W Medical Center Dr Ste B, Anaheim, CA 92801-1854 | 2010-01-05 |
| 1083829360 | Clara Nguyen | Internal Medicine | 432 E Temple St, Los Angeles, CA 90012-4022 | 2007-05-11 |
| 1184701013 | William L. Cappiello | Internal Medicine | 710 Lawrence Expwy, Santa Clara, CA 95051-5173 | 2006-10-31 |
| 1366543290 | L.wiener C.ross Medical Corp | Internal Medicine | 11540 Santa Monica Bl., #203, Los Angeles, CA 90025-7905 | 2006-09-25 |
| 1831120849 | Cesar A Estela | Internal Medicine | 9960 Cape Verde Dr, Elk Grove, CA 95757 | 2006-07-06 |
| 1730672056 | Aye Min-than Aung | Internal Medicine | 2737 Walsh Ave, Santa Clara, CA 95051-0965 | 2018-06-11 |
| Find all providers with the same taxonomy | ||||
| City | WALNUT CREEK |
| Zip Code | 94598 |
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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.