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HETAVI SHAH
NPI 1740636604
Physical Therapist - Geriatrics in Loma Linda, CA

Active since May 10, 2016
11863 COLUMBIA CT, LOMA LINDA, CA 92354(213) 705-7078 Get Directions Write a Review

NPPES record last updated: May 10, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Hetavi Shah NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HETAVI SHAH (NPI 1740636604) is an individual geriatrics provider in Loma Linda, California, licensed in California (42495) and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1740636604
Entity TypeIndividualFemale
Primary Taxonomy2251G0304X
Provider Legal NameHETAVI SHAH
Location Address11863 COLUMBIA CTLoma Linda, CA 92354-6755
Mailing Address11863 Columbia CtLoma Linda, CA 92354-6755
Phone(213) 705-7078
Sole ProprietorYes
Enumeration DateMay 10, 2016
✔ NPI 1740636604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · GeriatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251G0304X
License✔ Licensed in CA · 42495
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult.
11863 COLUMBIA CT, Loma Linda, CA 92354
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KOMAL RATILAL RAJYAGURU RPH
Pharmacist
11863 COLUMBIA CT
LOMA LINDA, CA 92354
San Bernardino County (213) 399-3309
HEATHER LYNN ROJAS MD
Pathology (Anatomic Pathology & Clinical Pathology)
11863 COLUMBIA CT
LOMA LINDA, CA 92354
San Bernardino County (909) 800-2036

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hetavi Shah's NPI number?

The NPI number for Hetavi Shah is 1740636604. It was assigned to this individual provider in the NPPES registry on May 10, 2016.

Where is Hetavi Shah located?

Hetavi Shah practices at 11863 Columbia Ct, Loma Linda, CA 92354. The listed phone number is (213) 705-7078.

What is Hetavi Shah's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.

When was this NPI record last updated?

The NPPES record for Hetavi Shah was last updated on May 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.