DR. SHIVANI PANKAJ SHAH (NPI# 1629562624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629562624 |
| Entity Type | Individual |
| Full Name | DR. SHIVANI PANKAJ SHAH |
| Credential | PHARM.D., R.PH. |
| Practice Address |
245 S Fetterly Ave East Los Angeles CA 90022-1605 |
| Mailing Address |
1574 Rancho Hills Dr Chino Hills CA 91709-6237 |
| Practice Telephone | 9099934552 |
| Mailing Telephone | 9099934552 |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2018-06-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
78108 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194341024 | Shivani Shah | Behavior Technician | 21666 Redwood Rd Ste D, Castro Valley, CA 94546-6445 | 2020-06-16 |
| 1467811851 | Shivani Shah | Dental Hygienist | 937 Willow Bridge Dr, Folsom, CA 95630-7839 | 2016-02-15 |
| 1245579226 | Shivani S Shah | Pediatrics | 135 Canal St Ste 200, Staten Island, NY 10304 | 2013-02-11 |
| 1184962391 | Shivani Shah | Pharmacist | 4773 Whitworth Pl S, Unit M102, Renton, WA 98055-8356 | 2013-01-22 |
| 1982837779 | Shivani Shah | Internal Medicine | 100 Spalding Dr Ste 202, Naperville, IL 60540-6552 | 2009-08-27 |
| 1306452289 | Shivani R Shah | Dentist | 1355 N Galena Ave, Dixon, IL 61021-1009 | 2020-09-16 |
| 1780204719 | Shivani Vijay Shah | Student in an Organized Health Care Education/Training Program | 150 55th St, Brooklyn, NY 11220-2508 | 2020-04-20 |
| 1851929269 | Shivani V Shah | Student in an Organized Health Care Education/Training Program | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-03-31 |
| 1891331328 | Shivani Shah | Pharmacist | 1603 Washington St, Boston, MA 02118-1951 | 2019-11-19 |
| 1386206381 | Shivani Shah | Physician Assistant | 9500 Euclid Ave, Cleveland, OH 44195 | 2019-07-01 |
| Street Address |
245 S FETTERLY AVE |
| City | EAST LOS ANGELES |
| State | CA |
| Zip Code | 90022-1605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790349207 | Azucena Herrera | Registered Nurse | 245 S Fetterly Ave, East Los Angeles, CA 90022-1605 | 2019-04-30 |
| 1629631197 | Estela Montes | Registered Nurse | 245 S Fetterly Ave, East Los Angeles, CA 90022-1605 | 2019-04-19 |
| 1538653530 | Sandy Meng-shan Chung | Pharmacist | 245 S Fetterly Ave, East Los Angeles, CA 90022-1605 | 2018-06-21 |
| 1558879296 | Millicent Elaine Wilson | Emergency Medicine | 245 S Fetterly Ave, East Los Angeles, CA 90022-1605 | 2018-01-16 |
| 1811419039 | Lilly Felicitas Lopez | Registered Nurse | 245 S Fetterly Ave, East Los Angeles, CA 90022-1605 | 2017-07-10 |
| 1245633171 | Hee-seon Yu | Nurse Practitioner | 245 S Fetterly Ave, East Los Angeles, CA 90022-1605 | 2014-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700405701 | Altamed Health Services Corp | Pharmacy | 972 Goodrich Blvd Rm 100, Los Angeles, CA 90022 | 2020-04-10 |
| 1033699426 | Reachwell Home Health Inc | Home Health | 236 1/4 S Atlantic Blvd, Los Angeles, CA 90022 | 2018-08-15 |
| 1326528704 | Shelli Hernandez | Community Health Worker | Enki Health & Research Systems Inc., 1000 Goodrich Blvd., Commerce, CA 90022 | 2018-08-15 |
| 1477071660 | East Los Angeles Womens Center | Counselor | 1431 S. Atlantic Blvd, Los Angeles, CA 90022 | 2017-09-07 |
| 1467974824 | Ena Vilma Hernandez | Registered Nurse | 245 S Fetterly St, Los Angeles, CA 90022 | 2017-07-07 |
| 1437688843 | Maud D Legaspi | Social Worker | 5425 E. Pomona Blvd, Los Angeles, CA 90022 | 2017-06-08 |
| 1548793920 | Harbor Chiropractic, Inc., A Bahan Company | Chiropractor | 5301 Whittier Blvd, Atrium Lower Level, Los Angeles, CA 90022 | 2017-04-04 |
| 1326590423 | Via Care Community Health Center | Clinic/Center | 501 S. Woods Ave, Los Angeles, CA 90022 | 2016-10-25 |
| 1780057950 | Monica Poomiwatracanont | Pharmacist | 5176 E. Whittier Blvd., Los Angeles, CA 90022 | 2015-11-10 |
| 1609277433 | Ethan C. A Lee Dental Inc. | Dentist | 6046 Whittier Blvd., Los Angeles, CA 90022 | 2014-09-11 |
| Find all providers in zip 90022 | ||||
| Taxonomy Code | 1835P2201X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Ambulatory Care |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538653530 | Sandy Meng-shan Chung | Pharmacist | 245 S Fetterly Ave, East Los Angeles, CA 90022-1605 | 2018-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619580909 | Maureen Elizabeth Shelley | Pharmacist | 1212 Pico St Rm 141, San Fernando, CA 91340-3503 | 2020-08-26 |
| 1295351419 | Alice Khalil | Pharmacist | 7555 Van Nuys Blvd # 1071, Van Nuys, CA 91405-1949 | 2020-06-23 |
| 1235752304 | Hang-thu Thi Nguyen | Pharmacist | 4131 Geary Blvd Ste B10, San Francisco, CA 94118-3101 | 2020-05-24 |
| 1861013609 | Karine Wong | Pharmacist | 8264 Noelle Dr, Huntington Beach, CA 92646-6928 | 2020-05-04 |
| 1023656683 | Kenny Tavoc | Pharmacist | 275 N El Cielo Rd Ste C325, Palm Springs, CA 92262-6972 | 2019-12-13 |
| 1124665294 | Paula Kyonghwa Kang | Pharmacist | 23444 Coyote Springs Dr, Diamond Bar, CA 91765-2652 | 2019-12-06 |
| 1194373985 | Louis Ho | Pharmacist | 1225 Wilshire Blvd Ste 201, Los Angeles, CA 90017-1901 | 2019-08-27 |
| 1669026076 | Alan Nguyen | Pharmacist | 1190 Veterans, Cypress Building, Medical Station E, Redwood City, CA 94603-9460 | 2019-07-25 |
| 1174175871 | Patrick Febre | Pharmacist | 3651 Business Dr Ste 100, Sacramento, CA 95820-2176 | 2019-07-12 |
| 1659835866 | Patti Chung | Pharmacist | 200 Medical Plaza Ste 426, Los Angeles, CA 90095-0001 | 2019-01-23 |
| Find all providers with the same taxonomy | ||||
| City | EAST LOS ANGELES |
| Zip Code | 90022 |
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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.