Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Nissar Shah, MD

Individual provider Endocrinology, Diabetes & Metabolism Physician · NPI 1407078215

Dr. Nissar Shah, MD is an Endocrinology in Ventura, California. Qualified in 1989, 37 years ago. Practices with Adventist Health Physicians Network, a 632-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
37
Licensed in
CA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

300 Hillmont Ave Ste 401
Ventura, CA 93003-1651
Phone: (805) 648-9830
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3265 S. Sepulveda Blvd., Los Angeles, CA 90034 — (310) 390-9317
  • 1227 E Los Angeles Ave, Simi Valley, CA 93065-2871 — (805) 582-4000

Specialties & licences

Endocrinology, Diabetes & Metabolism Physician (primary) Taxonomy 207RE0101X · Licence A84201 (CA)

Record details

NPI number1407078215
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 2, 2007
Last updated in NPPESNovember 13, 2023
Certification dateNovember 13, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyENDOCRINOLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Group practice Adventist Health Physicians Network — 632 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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