Individual provider Active NPI

Shendee Teng, M.D.

  • Diagnostic Radiology Physician
  • San Marino, CA
National Provider Identifier
1003111642
Registry record updated Jan 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G83798 Issued in CA
Practice address
1595 Rubio Dr
San Marino, CA 91108-2742
Phone
(626) 287-3213
NPI assigned
Jan 12, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X G83798 CA Primary

Addresses

Primary practice location

1595 Rubio Dr
San Marino, CA 91108-2742

Mailing address

1595 Rubio Dr
San Marino, CA 91108-2742
Phone (626) 287-3213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110318000139 CA Practitioner - Diagnostic Radiology 9234153388 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G83798CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Diagnostic & Interventional Specialists Diagnostic Radiology CurrentSince Jun 25, 2023 Accepting new patients
Shendee Teng, M.D., Inc Diagnostic Radiology Past Accepting new patients
Hudson Valley Radiology Associates PLLC Diagnostic Radiology Past Accepting new patients

Locations

19950 Rinaldi St
Ste 103
Porter Ranch, CA 91326
Phone (818) 403-2400

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294790400000",
    "number": "1003111642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1595 RUBIO DR",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911082742",
            "telephone_number": "626-287-3213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 RUBIO DR",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911082742",
            "telephone_number": "626-287-3213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENG",
        "first_name": "SHENDEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-12",
        "last_updated": "2011-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G83798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marino, CA

Sources for this page

Verify at the official NPI Registry.