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

Shibani Sunilkumar Shah

Individual provider Registered Nurse · NPI 1326719063

Shibani Sunilkumar Shah is a Nurse Practitioner in Newport Beach, California. Qualified in 2021, 5 years ago. Practices with Island Dermatology, Inc, a 27-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

1441 Avocado Ave Ste 409
Newport Beach, CA 92660-7705
Phone: (949) 640-4501
Fax: (949) 640-0741
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 701 E 28th St Ste 311, Long Beach, CA 90806-2780 — (562) 595-4777
  • 1360 W 6th St Ste 370, San Pedro, CA 90732-3527 — (310) 519-8890

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95018730 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 95063243 (CA)

Record details

NPI number1326719063
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 22, 2021
Last updated in NPPESOctober 11, 2021
Certification dateOctober 11, 2021
Mailing address6399 San Ignacio Ave Ste 120, San Jose, CA 95119-1215

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Island Dermatology, Inc. — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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