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

Puja Dipakkumar Shah, FNP, CMSRN

Individual provider General Practice Registered Nurse · NPI 1659639144

Puja Dipakkumar Shah, FNP, CMSRN is a General Practice Registered Nurse in Santa Ana, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2012
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1421 E 17th St
Santa Ana, CA 92705-8505
Phone: (714) 922-4100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence NP 21691 (CA)
General Practice Registered Nurse Taxonomy 163WG0000X · Licence RN 700630 (CA)

Record details

NPI number1659639144
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP , CMSRN
Sole proprietorYes
NPI enumeratedMay 2, 2012
Last updated in NPPESDecember 22, 2023
Certification dateJune 21, 2022

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