Healthcare Provider Details

I. General information

NPI: 1942167895
Provider Name (Legal Business Name): SHEBANI SETHI, M.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2026
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1440 N HARBOR BLVD STE 916
FULLERTON CA
92835-4127
US

IV. Provider business mailing address

325 SHARON PARK DR # 209
MENLO PARK CA
94025-6805
US

V. Phone/Fax

Practice location:
  • Phone: 650-308-4790
  • Fax: 650-754-8529
Mailing address:
  • Phone: 650-308-4790
  • Fax: 650-754-8529

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084B0002X
TaxonomyObesity Medicine (Psychiatry & Neurology) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207RB0002X
TaxonomyObesity Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SHEBANI SETHI
Title or Position: OWNER
Credential: MD
Phone: 650-308-4790