AMISH KISHOR SHAH (NPI# 1851531768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851531768 |
| Entity Type | Individual |
| Full Name | AMISH KISHOR SHAH |
| Credential | D.O., M.P,H, |
| Practice Address |
17542 17th St Suite 320 Tustin CA 92780-1959 |
| Practice Telephone | 7147345500 |
| Mailing Telephone | 7147345500 |
| Enumeration Date | 2009-03-05 |
| Last Update Date | 2014-06-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
20A11673 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780892943 | Amish M Shah | Emergency Medicine | 345 E 93rd St Apt 18f, New York, NY 10128-5521 | 2007-05-20 |
| 1891708459 | Amish M. Shah | Chiropractor | 960 N Rand Rd, Suite 212, Des Plaines, IL 60016-2355 | 2006-08-14 |
| 1598737389 | Amish B Shah | Internal Medicine | 333 Whitesport Drive, Suite 205, Huntsville, AL 35801 | 2006-02-06 |
| 1750825949 | Amish Shah | Pharmacist | 6327 Torresdale Ave, Philadelphia, PA 19135-3303 | 2016-12-07 |
| 1376920884 | Amish J Shah | Student in an Organized Health Care Education/Training Program | 750 E Adams St, Syracuse, NY 13210-2306 | 2015-05-05 |
| 1093097834 | Amish Shah | Pharmacist | 22 E Saint Georges Ave, Linden, NJ 07036-2936 | 2011-09-19 |
| 1952567596 | Amish C Shah | Pediatrics | 3401 Civic Center Blvd, Children's Hospital of Philadelphia, Philadelphia, PA 19104-4319 | 2008-08-04 |
| 1629129341 | Amish Ajit Shah | Radiology | 4901 Lang Ave Ne, Albuquerque, NM 87109-4495 | 2007-01-16 |
| 1225057532 | Amish Shah | Internal Medicine | 24035 Three Notch Rd, Hollywood, MD 20636-4871 | 2006-07-18 |
| 1902882137 | Amish Shah | Anesthesiology | 300 Canal St, King City, CA 93930-3431 | 2005-12-20 |
| Street Address |
17542 17TH ST SUITE 320 |
| City | TUSTIN |
| State | CA |
| Zip Code | 92780-1959 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932305034 | Quyen Dao | Internal Medicine | 17542 17th St, Suite 410, Tustin, CA 92780-1959 | 2007-06-25 |
| 1447626247 | Haley Lounsbury | Speech-Language Pathologist | 17542 17th St, Tustin, CA 92780 | 2015-08-15 |
| 1356738769 | Metabolic Medicine & Fitness Center | Preferred Provider Organization | 17542 17th St, Suite 410, Tustin, CA 92780-1959 | 2015-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437780947 | John Michael Michael | Pharmacist | 14481 Wildeve Ln, Tustin, CA 92780 | 2020-02-03 |
| 1609426881 | Abigail Joy Maqsood | Behavior Technician | 290a S Prospect Ave, Tustin, CA 92780 | 2019-09-19 |
| 1255814711 | Hyun Dong Lee | Chiropractor | 14591 Newport Ave Ste 106, Tustin, CA 92780 | 2018-09-11 |
| 1346733573 | Elizabeth Kim Nguyen Dds Inc | Clinic/Center | 14521 Red Hill Ave, Tustin, CA 92780 | 2018-06-12 |
| 1255829503 | Hw Physical Therapy | Physical Therapist | 250 El Camino Real Ste 100, Tustin, CA 92780 | 2018-04-23 |
| 1912494352 | Gary Wayne Mcbeath | Marriage & Family Therapist | 17821 E 17th Street, Suite # 260, Tustin, CA 92780 | 2018-04-20 |
| 1104334598 | Catherine Bogues | Speech-Language Pathologist | 661 West 1st Street, Suite E, Tustin, CA 92780 | 2018-01-19 |
| 1972019941 | Lighthouse Behavioral Solutions | Behavioral Analyst | 18002 Irvine Blvd., Suite 202c, Tustin, CA 92780 | 2017-12-28 |
| 1629597299 | Lifecab, LLC | Non-emergency Medical Transport (VAN) | 13732 Newport Ave, Suite #1, Tustin, CA 92780 | 2017-09-14 |
| 1437606555 | Tustin Speech Therapy, Inc. | Speech-Language Pathologist | 661 West First Street, Suite E, Tustin, CA 92780 | 2016-09-07 |
| Find all providers in zip 92780 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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 |
|---|---|---|---|---|
| 1699040170 | Orange County Senior Care, Inc | Internal Medicine | 1101 Bryan Ave, Suite E, Tustin, CA 92780-4401 | 2012-03-15 |
| 1396857181 | Alvin Chang | Internal Medicine | 1101 Bryan Ave, Suite E, Tustin, CA 92780-4401 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902421480 | Healthier Lifestyle Medical Group | Internal Medicine | 1412 W Glenoaks Blvd Ste B, Glendale, CA 91201-1990 | 2020-06-10 |
| 1972065704 | Joseph A Habis Md | Internal Medicine | 359 Bel Marin Keys Blvd Ste 22, Novato, CA 94949-5637 | 2019-04-01 |
| 1801363858 | Hgrt Medical Group Inc | Internal Medicine | 31741 Rancho Hill Viejo Road, San Juan Capistrano, CA 92675 | 2018-10-29 |
| 1972081412 | Ahra Cho, M.d., Inc | Internal Medicine | 2727 W Olympic Blvd Ste 205, Los Angeles, CA 90006-2640 | 2018-08-06 |
| 1013401975 | Robert H Moon Md, Inc | Internal Medicine | 181 Rea Ave, El Cajon, CA 92020-3985 | 2018-06-14 |
| 1821587585 | Aost Healthcare Services | Internal Medicine | 10990 Lower Azusa Rd Ste 4, El Monte, CA 91731-1353 | 2018-05-08 |
| 1396233185 | Caroline Petrossian | Internal Medicine | 1880 Century Park East Suite 711, Century City, CA 90067 | 2018-04-26 |
| 1558868927 | Gps Physician Group of California PC | Internal Medicine | American River Center, 3900 Garfield Ave, Carmichael, CA 95608 | 2018-04-11 |
| 1427588417 | Vivacitas Medical Group PC | Internal Medicine | 1383 N Mcdowell Blvd Ste 110, Petaluma, CA 94954-1190 | 2017-06-13 |
| 1144616590 | Lindsey Merrihew Haddock | Internal Medicine | 4150 Clement St Bldg 1306b, San Francisco, CA 94121 | 2015-04-13 |
| Find all providers with the same taxonomy | ||||
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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.