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

Individual provider Physician Assistant · NPI 1750005849

Kushan Ketan Shah is a Physician Assistant in Colton, California. Graduated from University of Maryland School of Medicine in 2023, 3 years ago. Practices with Beaver Medical Group P C, a 255-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Trained at
University of Maryland School of Medicine
Licensed in
CA
In the registry since
2022
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Practice location Address checks out

1300 E Cooley Dr
Colton, CA 92324-3905
Phone: (909) 370-4100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 24910 Las Brisas Rd Ste 111, Murrieta, CA 92562-4010 — (951) 694-8549

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA63312 (CA)

Record details

NPI number1750005849
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 3, 2022
Last updated in NPPESMarch 6, 2026
Certification dateMarch 6, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice Beaver Medical Group P C — 255 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Colton