DR. SHAUKAT ALI ANSARI M.D.
NPI 1821294455
Psychiatry & Neurology - Child & Adolescent Psychiatry in Stockton, CA

Q: What is Shaukat Ansari's NPI number?

The NPI number for Shaukat Ansari is 1821294455. It was assigned to this individual provider in the NPPES registry on June 21, 2007.

Q: What is Shaukat Ansari's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: When was this NPI record last updated?

The NPPES record for Shaukat Ansari was last updated on February 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since June 21, 2007PECOS Enrolled

1414 N CALIFORNIA ST, STOCKTON, CA 95202(209) 468-2391(209) 468-8024 Get Directions Write a Review

NPPES record last updated: February 4, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Shaukat Ali Ansari M.d. NPPES

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

DR. SHAUKAT ALI ANSARI M.D. (NPI 1821294455) is an individual child & adolescent psychiatry provider in Stockton, California, licensed in California (A105923) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821294455

Entity TypeIndividualMale

Primary Taxonomy2084P0804X

Provider Legal NameDR. SHAUKAT ALI ANSARICredential: M.D.

Location Address1414 N CALIFORNIA STStockton, CA 95202-1515

Mailing Address1414 N California StStockton, CA 95202-1515 · (209) 468-2391 · Fax (209) 468-8024

Phone(209) 468-2391

Fax(209) 468-8024

Sole ProprietorNo

Enumeration DateJune 21, 2007

Last NPPES UpdateFebruary 4, 2014

✔ NPI 1821294455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

Licenses✔ Licensed in CA · A105923✔ Licensed in OH · 35.089369

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

1414 N CALIFORNIA ST, Stockton, CA 95202

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shaukat Ali Ansari M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

MARITZA JUACHE

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