DR. VIDHI PANKAJ SHAH (NPI# 1497012033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497012033 |
| Entity Type | Individual |
| Full Name | DR. VIDHI PANKAJ SHAH |
| Credential | M.D. |
| Practice Address |
9300 Valley Childrens Pl Madera CA 93636-8761 |
| Practice Telephone | 5593535700 |
| Practice Fax Number | 5593535708 |
| Mailing Telephone | 5593535700 |
| Mailing Fax Number | 5593535708 |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2020-06-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 35-126717 | OH | Allopathic & Osteopathic Physicians |
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
A164245 | CA | Allopathic & Osteopathic Physicians |
| N | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
126717 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MONTEFIORE | 1947AS | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11100 Euclid Ave, Cleveland, OH 441061716 | 2168447700 | |
| 3804 Pamunkey River Reach Apt E, Portsmouth, VA 237035415 | 7574041289 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023300563 | Vidhi Shah | Occupational Therapist | 301 Sunchase Blvd Apt C, Farmville, VA 23901-2982 | 2011-05-03 |
| 1528614294 | Vidhi Shah | Dentist | 2825 El Camino Real, Santa Clara, CA 95051-2901 | 2019-08-17 |
| 1730689621 | Vidhi Shah | Optometrist | 50 Mcnaughten Rd, Columbus, OH 43213-2120 | 2018-02-16 |
| 1164946687 | Vidhi Shah | Dentist | 3 Kelly Driver Rd, Laurel Springs, NJ 08021-4823 | 2017-07-26 |
| 1932632239 | Vidhi Shah | Dermatology | 17 Davis Blvd Ste 308, Tampa, FL 33606 | 2017-04-04 |
| 1578001343 | Vidhi Shah | Community Health Worker | 325 Sw Frazier Ave, Topeka, KS 66606-1963 | 2017-02-01 |
| 1841555661 | Vidhi Shah | Pharmacist | 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2012-07-09 |
| 1922250901 | Vidhi Shah | Internal Medicine | 2734 El Camino Real, Santa Clara, CA 95051-3041 | 2008-10-21 |
| Street Address |
9300 VALLEY CHILDRENS PL |
| City | MADERA |
| State | CA |
| Zip Code | 93636-8761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962405753 | Fred H Laningham | Radiology | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2005-05-24 |
| 1043811953 | Ashley Nicole Peton | Pharmacist | 9300 Valley Childrens Pl, Madera, CA 93636-8762 | 2020-11-06 |
| 1063013308 | Samantha Carballo Austin | Social Worker | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2020-11-03 |
| 1982205217 | Stefanie Marie Gibbons | Social Worker | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2020-11-03 |
| 1114525128 | Kristin Leann Lokey | Social Worker | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2020-10-12 |
| 1770190969 | Mallory King | Physician Assistant | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2020-09-30 |
| 1356957161 | Sabrina Star Tovar | Audiologist | 9300 Valley Childrens Pl, Madera, CA 93636-8762 | 2020-09-17 |
| 1790391621 | Alyssa Catherine Nakaguchi | Pharmacist | 9300 Valley Childrens Pl, Madera, CA 93636-8762 | 2020-09-16 |
| 1740894773 | Heather Goossen | Pharmacist | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2020-09-08 |
| 1184236820 | Renzio Menico Bantayan Apostol | Pharmacist | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2020-08-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043695257 | Kati Pitts | Social Worker | 9300 Valley Children's Pl., Madera, CA 93636 | 2015-07-29 |
| 1386903177 | Christina Lee-ann Badgett | Registered Nurse | 40617 Rd 406, Madera, CA 93636 | 2012-05-14 |
| 1205134897 | Gina West | Counselor | 10120 Lanes Bridge Dr, Madera, CA 93636 | 2011-03-04 |
| 1326342593 | Re Zaw | Pediatrics | 9300 Valley Children's Place, Residency Dept (ge20), Madera, CA 93636 | 2011-01-03 |
| 1013144179 | Cynthia Romer Fata | Pathology | 9300 Valley Childrens Pl # Sc12, Madera, CA 93636 | 2009-06-16 |
| 1689815888 | Nasser Moiduddin | Pediatrics | 9300 Valley Childrens Pl # PC14, Madera, CA 93636 | 2009-03-18 |
| 1174503338 | James Clifton Horspool | Pediatrics | 9300 Valley Children's Place, Mb01, Madera, CA 93636 | 2006-01-21 |
| 1205818465 | James Weston Hole | Obstetrics & Gynecology | 9300 Valley Children's Pl, Fe16, Madera, CA 93636 | 2005-11-15 |
| 1679056493 | Catherine K. Beaumier | Surgery | 9300 Valley Children's Pl., Madera, CA 93636 | 2018-09-07 |
| 1912492216 | Ji Yeon Kwon | Registered Nurse | 9300 Valley Childrens Pl # Ge07, Madera, CA 93636 | 2018-06-28 |
| Find all providers in zip 93636 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811200124 | Katrina Tan Ibonia | Pediatrics | 9300 Valley Childrens Pl # Se21, Madera, CA 93636-8762 | 2010-07-16 |
| 1891743761 | Larry Tinsley Viii | Pediatrics | Childrens Hospital Central Calirornia Nicu, 9300 Valley Childrens Place, Madera, CA 93638-8762 | 2006-05-04 |
| 1154308484 | Gamdur S Brar | Pediatrics | 2339 W Cleveland Ave Ste 101, Madera, CA 93637-8765 | 2005-12-28 |
| 1821457011 | Valley Children's Medical Group - Dept Of | Pediatrics | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2016-02-16 |
| 1225436553 | David Box | Pediatrics | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2014-12-19 |
| 1114280930 | Central California Neonatology Group, Inc | Pediatrics | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2012-06-18 |
| 1649538174 | An Na Liang | Pediatrics | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2012-05-03 |
| 1144478819 | Neonatal Perinatal Medical Group, Inc. | Pediatrics | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2008-09-05 |
| 1659543791 | Anand Krishnakumar Rajani | Pediatrics | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2008-03-28 |
| 1104945617 | Devinder Raj Chopra | Pediatrics | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2007-03-28 |
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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.