Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1396724985 Deactivated / Inactive NPI Male Practitioner

Dr. Shan A Nathan , MD

Specialist • Lancaster, CA

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Shan Nathan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 11, 2006
NPI Deactivation Date June 11, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Shan Nathan, MD was a registered Specialist practicing in Lancaster, CA. Throughout an active medical career spanning 20 years, Dr. Nathan provided care at the practice location at 1331 W AVENUE J until profile deactivation on 2026-06-11.

Historical Medicare Part B clinical services included critical care, first, subsequent hospital care with moderate levelof medical decision making, if using time, at least, established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1331 W Avenue J
Ste 101b

Lancaster, CA 935342942

Telephone 6619458717
Fax 6619454867
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Lancaster, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 37.9 Yrs
State Avg: 38.0 Yrs
Regional Practice Density
35 Specialists

Practicing in Lancaster, CA (6446 Statewide)

Telehealth Adoption Rate
14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
34.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99291 Critical care, first 30-74 minutes
117 38 $362.82 $236.81

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License CA A31010

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Jamie Michalski , NP

Nurse Practitioner

NPI 1740887579

Nurse Practitioner

NPI 1770563116

Doctor of Medicine (M.D.)

NPI 1932188521

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
⚠️
NPI Profile Deactivated June 11, 2026

Record deactivated on June 11, 2026

📍
Updated Practice Location July 19, 2018

Registered at 44215 15TH ST W STE 203, LANCASTER, CA 93534 (Tel: 6614807004)

📍
Updated Business Mailing Address July 19, 2018

Registered at 44215 15TH ST W STE 203, LANCASTER, CA 935345504 (Tel: 6614807004)

NPI Profile Active June 09, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location June 09, 2008

Registered at 1331 W AVENUE J, STE 101B, LANCASTER, CA 935342942 (Tel: 6619458717)

📍
Updated Business Mailing Address June 09, 2008

Registered at 1331 W AVENUE J, STE 101B, LANCASTER, CA 935342942 (Tel: 6619458717)

👤
Provider Name / Credentials Updated June 09, 2008

Recorded as SHAN NATHAN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2008

Specialist (License #A31010 in CA)

🟢
Initial NPI Registration & Enumeration January 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Shan Nathan. Be the first to share your experience!

Sign in to leave a review for Dr. Shan Nathan

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1396724985
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 11, 2006
Last Update: June 09, 2008
Deactivation Date: June 11, 2026

Mailing Address

1331 W Avenue J, Ste 101b

Lancaster, CA 935342942

Phone: 6619458717

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.