Provider Demographics
NPI:1407749914
Name:SHAPA, INC.
Entity type:Organization
Organization Name:SHAPA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:NATAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LAVI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-839-0269
Mailing Address - Street 1:PO BOX 997
Mailing Address - Street 2:
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95015-0997
Mailing Address - Country:US
Mailing Address - Phone:408-207-5201
Mailing Address - Fax:
Practice Address - Street 1:205 E ALMA AVE UNIT E1
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95112-5902
Practice Address - Country:US
Practice Address - Phone:408-207-5201
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management