Shahnaz Achackzad · Nurse Practitioner

25 N 14th St, San Jose, CA 95112-6204

Overview

Shahnaz Achackzad is a Nurse Practitioner practicing in San Jose, California. The National Provider Identifier (NPI) is #1801296272, which was assigned on September 3, 2014, and the registration record was last updated on September 2, 2025. The practitioner's main practice location is at 25 N 14th St, San Jose, CA 95112-6204; the contact telephone number is 7143198735. The primary taxonomy of Shahnaz Achackzad is Nurse Practitioner (363L00000X). Shahnaz Achackzad is licensed to practice in the state of California (#715047), California (#21416), California (#21416), California (#21416), California (#21416), California (#21416).

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Provider Information

NPI 1801296272
Entity Type Individual
Provider Name SHAHNAZ ACHACKZAD
Gender Female
Credential NPC
Practice Address 25 N 14th St
San Jose
CA 95112-6204
Practice Telephone 7143198735
Mailing Address 25 N 14th St
San Jose
CA 95112-6204
Mailing Telephone 7143198735
Certification Date 2025-08-28
Enumeration Date 2014-09-03
Last Update Date 2025-09-02
Is Sole Proprietor N

Doctor and Clinician Information

PAC ID 3375056716
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name SHAHNAZ ACHACKZAD
Primary Specialty NURSE PRACTITIONER
Organization Legal Name ANCHOR HEALTH MANAGEMENT INC
Address 350 E Gobbi St
Ukiah
CA 95482-5511

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
N163WC0200XRegistered NurseCritical Care Medicine715047CA
N363LA2200XNurse PractitionerAdult Health21416CA
N363LF0000XNurse PractitionerFamily21416CA
N363LP2300XNurse PractitionerPrimary Care21416CA
N363LX0106XNurse PractitionerOccupational Health21416CA
Y363L00000XNurse Practitioner21416CA

Secondary Practice Locations

AddressTelephoneFax
531 S Orchard Ave Ste A, Ukiah, CA 9548250227074720350

Taxonomy Information

Primary Taxonomy

Code 363L00000X
Taxonomy Nurse Practitioner
Classification Nurse Practitioner
Grouping Physician Assistants & Advanced Practice Nursing Providers
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses' Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Other Taxonomy

Code 163WC0200X
Taxonomy Critical Care Medicine Registered Nurse
Classification Registered Nurse
Specialization Critical Care Medicine
Grouping Nursing Service Providers
Definition: Definition to come...

Other Taxonomy

Code 363LA2200X
Taxonomy Adult Health Nurse Practitioner
Classification Nurse Practitioner
Specialization Adult Health
Grouping Physician Assistants & Advanced Practice Nursing Providers
Definition: Definition to come...

Other Taxonomy

Code 363LF0000X
Taxonomy Family Nurse Practitioner
Classification Nurse Practitioner
Specialization Family
Grouping Physician Assistants & Advanced Practice Nursing Providers
Definition: Definition to come...

Other Taxonomy

Code 363LP2300X
Taxonomy Primary Care Nurse Practitioner
Classification Nurse Practitioner
Specialization Primary Care
Grouping Physician Assistants & Advanced Practice Nursing Providers
Definition: Definition to come...

Other Taxonomy

Code 363LX0106X
Taxonomy Occupational Health Nurse Practitioner
Classification Nurse Practitioner
Specialization Occupational Health
Grouping Physician Assistants & Advanced Practice Nursing Providers
Definition: Definition to come...

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Location Information

Street Address 25 N 14TH ST
City SAN JOSE
State CA
Zip Code 95112-6204
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
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Yadira Tejeda 25 N 14th St, San Jose, CA 95112-6204Case Manager/Care Coordinator2019-05-21
Andre Lowe 25 N 14th St, San Jose, CA 95112-6204Case Manager/Care Coordinator2024-01-11
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.