| Samir A Shah Md Professional Corporation | |
|
18582 Main St, Huntington Beach, CA 92648-1701 | |
| (714) 965-9696 | |
| (714) 965-9797 |
| Full Name | Samir A Shah Md Professional Corporation |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 18582 Main St, Huntington Beach, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700197365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | A85961 (California) | Primary |
| Provider Name | Matthew Sloan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1154387108 PECOS PAC ID: 9032292297 Enrollment ID: I20080211000602 |
| Provider Name | Donald N Schwartz |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1205892270 PECOS PAC ID: 6103900337 Enrollment ID: I20080227000371 |
| Provider Name | Roberto Rende |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1235224973 PECOS PAC ID: 6507936713 Enrollment ID: I20080731000815 |
| Provider Name | Samir A Shah |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1871545434 PECOS PAC ID: 2365455177 Enrollment ID: I20100824000969 |
| Provider Name | Druann J Mccluskey |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1295846285 PECOS PAC ID: 1951597921 Enrollment ID: I20101202000462 |
| Provider Name | Khalil Semaan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447547070 PECOS PAC ID: 5698930600 Enrollment ID: I20120625000659 |
| Provider Name | Ling Y Bei |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1164740460 PECOS PAC ID: 4789813361 Enrollment ID: I20140828000101 |
| Provider Name | Hema L Ramkumar |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1184919524 PECOS PAC ID: 8921315003 Enrollment ID: I20150922002706 |
| Provider Name | Kevin Jwo |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1346501137 PECOS PAC ID: 4789952466 Enrollment ID: I20170621002529 |
| Provider Name | Huong Hoai Dang Le |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750894630 PECOS PAC ID: 8921351024 Enrollment ID: I20181018002373 |
| Provider Name | Jennifer Nd Hoang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578057717 PECOS PAC ID: 6507102472 Enrollment ID: I20190114002632 |
| Provider Name | Joseph Ridenour |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811576192 PECOS PAC ID: 0042628836 Enrollment ID: I20210415001617 |
| Provider Name | Anna T Do |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1588058721 PECOS PAC ID: 3375889561 Enrollment ID: I20210624001632 |
| Provider Name | Jonathan Lee Go |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1902332349 PECOS PAC ID: 9234536541 Enrollment ID: I20210928003298 |
| Provider Name | Frank Abella Ayala |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1528514247 PECOS PAC ID: 3577940089 Enrollment ID: I20220520002219 |
| Provider Name | Jane S Kim |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1578926572 PECOS PAC ID: 3779908090 Enrollment ID: I20230117002226 |
| Provider Name | Caleb L Shumway |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1225698814 PECOS PAC ID: 4385009919 Enrollment ID: I20240710000832 |
| Mailing Address | Practice Location Address |
|---|---|
| Samir A Shah Md Professional Corporation 18582 Main St, Huntington Beach, CA 92648-1701 Ph: (714) 965-9696 | Samir A Shah Md Professional Corporation 18582 Main St, Huntington Beach, CA 92648-1701 Ph: (714) 965-9696 |