Active NPI
Shendee Teng, M.D.
- Diagnostic Radiology Physician
- San Marino, CA
National Provider Identifier
1003111642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- G83798
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G83798 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Diagnostic & Interventional Specialists | Diagnostic Radiology | Current | 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.
-
- Diagnostic Radiology Physician
- Sherman Oaks, CA
- NPI 1578264867
-
- Diagnostic Radiology Physician
- Mission Hills, CA
- NPI 1164563284
-
- Diagnostic Radiology Physician
- New City, NY
- NPI 1174574115
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.