PUJA DIPAKKUMAR SHAH


Address: 1421 E 17th St, Santa Ana, CA 92705-8505
Phone: 7149224100

PUJA DIPAKKUMAR SHAH (NPI# 1659639144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659639144
Entity Type Individual
Full Name PUJA DIPAKKUMAR SHAH
Credential FNP, CMSRN
Practice Address 1421 E 17th St
Santa Ana
CA 92705-8505
Practice Telephone 7149224100
Enumeration Date 2012-05-02
Last Update Date 2012-08-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WG0000X Registered Nurse
Specialization: General Practice
RN 700630 CA Nursing Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
NP 21691 CA Physician Assistants & Advanced Practice Nursing Providers

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1366701468 Puja Shah Case Manager/Care Coordinator 605 W Olympic Blvd Ste 600, Los Angeles, CA 90015-1475 2012-05-09
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1760648935 Puja Shah Dentist 333 S Broadway, Hicksville, NY 11801-5005 2008-08-06

Office Location

Street Address 1421 E 17TH ST
City SANTA ANA
State CA
Zip Code 92705-8505

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063481562 Planned Parenthood of Orange and San Bernardino Counties Clinic/Center 1421 E 17th St, Santa Ana, CA 92705-8505 2006-03-16
1336693324 Laura Nicole Tubbs Registered Nurse 1421 E 17th St, Santa Ana, CA 92705-8505 2016-08-08
1154700102 Caroline Phalen Cowdrey Registered Nurse 1421 E 17th St, Santa Ana, CA 92705-8505 2015-05-22
1093826620 Judy H. Chan Nurse Practitioner 1421 E 17th St, Santa Ana, CA 92705-8505 2006-08-31
1013029370 Mary Amparo Sedo Nurse Practitioner 1421 E 17th St, Santa Ana, CA 92705-8505 2006-08-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952919763 John G. Alevizos, D.o., A Professional Medical Corporation Preventive Medicine 1530 East Edinger Avenue, Suite 1, Santa Ana, CA 92705 2020-07-17
1477186625 Joyce Altman Interpreters, Inc. Interpreter 1971 East 4th Street, Ste 206, Santa Ana, CA 92705 2020-02-17
1588214688 Cindy Mejia Behavior Technician 505 N. Tustin Ave., #152, Santa Ana, CA 92705 2019-09-19
1588210504 Jennifer Ang Lim-quevedo Nurse Practitioner 18362 Whitney Dr, Santa Ana, CA 92705 2019-08-15
1962056820 Melinda Acosta Black Social Worker 1526 Brookhollow Drive, Santa Ana, CA 92705 2019-07-30
1972069631 Amy Marie Elit Nurse Practitioner 1751 E Harry Ave, Santa Ana, CA 92705 2019-02-18
1386118180 Unified Behavioral Health, LLC Substance Abuse Rehabilitation Facility 1218 W Santa Ana Blvd, Santa Ana, CA 92705 2019-01-15
1952884736 Javier Perales Social Worker 1652 Windsor Ln, Santa Ana, CA 92705 2018-09-08
1073009700 Eva E Kuncewicki Marriage & Family Therapist 1001 S Grand Ave # B, Santa Ana, CA 92705 2018-07-05
1487149886 Nimbus Medtransport Inc. Non-emergency Medical Transport (VAN) 2112 E 4th St Ste 235, Santa Ana, CA 92705 2018-06-27
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1831664085 Clemrose Go Nurse Practitioner 809 S Main St, Santa Ana, CA 92701-5719 2018-10-03
1083199194 Federico Augusto Torres Nurse Practitioner 1331 W Central Ave Apt 37, Santa Ana, CA 92704-5774 2018-09-25
1386121697 Samantha Sanh Chan Nurse Practitioner 1525 W San Lorenzo Ave, Santa Ana, CA 92704-6225 2018-07-20
1558854612 Laura Fessler Nurse Practitioner 3501 S. Harbor Blvd, Santa Ana, CA 92704 2018-06-12
1891216370 Ngoc Kim Nguyen Nurse Practitioner 18912 Fowler Ave, Santa Ana, CA 92705-1217 2017-07-05
1427413947 Rhodora Neu Nurse Practitioner 3401 W. Sunflower Avenue, Suite 250, Santa Ana, CA 92704 2015-12-28
1275906711 Caremore Health Plan Nurse Practitioner 1945 E. 17th St., Suite 101, Santa Ana, CA 92705 2015-11-05
1962895334 Samantha Zimmerman Nurse Practitioner 3401 S Main St, Unit K, Santa Ana, CA 92707-4306 2015-03-10
1306265798 Alma Isabel Velasco Nurse Practitioner 617 S Ross St, Santa Ana, CA 92701-5564 2014-04-14
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Competitor

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City SANTA ANA
Zip Code 92705

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Dataset Information

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.

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