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

Jay Shah, DO

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1023464336

Jay Shah, DO is a Family Practice in Chino Hills, California. Qualified in 2016, 10 years ago. Practices with Premier Family Medicine Associates, Inc, a 65-clinician group and offers telehealth. Licensed in California.

Years since qualifying
10
Licensed in
CA
In the registry since
2016
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

2140 Grand Ave Ste 125
Chino Hills, CA 91709-6802
Phone: (909) 630-7875
Fax: (909) 469-2107
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 20A16182 (CA)

Record details

NPI number1023464336
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 5, 2016
Last updated in NPPESFebruary 25, 2026
Certification dateFebruary 25, 2026

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesSPORTS MEDICINE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Premier Family Medicine Associates, Inc — 65 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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