MR. AMIT SHAH (PA-C) – Physician Assistant, NPI 1003218025

MR. AMIT SHAH (PA-C) is a healthcare provider. based in Perris, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 51942 (CA). The NPI Number for MR. AMIT SHAH (PA-C) is 1003218025

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
MR. AMIT SHAH (PA-C)
NPI
1003218025
Phone
(951) 657-6559
Address
2226 MEDICAL CENTER DR
Enumeration Date
22 September 2014
Last Update Date
27 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5624304138
Graduation Year
2014 (12 years ago)
PAC ID
9830413020
Group Practice PAC ID
9032340047
Professional Enrollment ID
I20150116000753
Address ID
CA907203385LO3851XAVEX301

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness85
Years active:11State licenses:1Other namesUpdated within 12 months

10,570 PHYSICIAN ASSISTANT in CA

Provider Addresses for MR. AMIT SHAH (PA-C)

  • 2226 MEDICAL CENTER DR

    SUITE #101

    PERRIS, CA 925712657

    Phone: (951) 657-6559

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-01-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150116000753IPhysician AssistantCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92571)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9032340047View full group profile

Reviews

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Frequently asked questions

Does MR. AMIT SHAH (PA-C) have a public NPI I can cite?
Public records show MR. AMIT SHAH (PA-C) under NPI 1003218025.
Is MR. AMIT SHAH (PA-C)'s NPI status active today?
Active status means MR. AMIT SHAH (PA-C)'s NPI record is not deactivated in the public file.
How should patients interpret MR. AMIT SHAH (PA-C)'s specialty?
The extract shows Physician Assistant for MR. AMIT SHAH (PA-C). Clinical services aligned with this taxonomy classification.
What geographic area is tied to MR. AMIT SHAH (PA-C)?
MR. AMIT SHAH (PA-C) is associated with Perris, California in the same public data insurers reference.
Can I export MR. AMIT SHAH (PA-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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