Active NPI
Kimberly Anne Shriner, MD
- Infectious Disease Physician
- Pasadena, CA
National Provider Identifier
1003926882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- A43877
- Practice address
- 50 Alessandro PL
Suite 360
Pasadena, CA 91105-3149 - Phone
- (626) 793-6133
- Fax
- (626) 793-6135
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | A43877 | CA | Primary |
Addresses
Primary practice location
50 Alessandro PL
Suite 360
Pasadena, CA 91105-3149
Mailing address
PO Box 1449
Brea, CA 92822-1449
Phone (714) 996-1633
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110025943 | Other | GA | RAILROAD RETIREMENT |
| 00A438770 | Medicaid | CA | |
| 00A438770 | Other | CA | BLUE SHIELD |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100927001296 | CA | Practitioner - Infectious Disease | 3678699626 | Practice locations: Pasadena, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ea Health Physicians Medical Group, Inc. | Past | Accepting new patients | |
| Pasadena Hospital Association, LTD. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Infectious Disease Physician
- Pasadena, CA
- NPI 1205369006
-
- Emergency Medicine Physician
- Palm Springs, CA
- NPI 1841578333
-
dba Huntington Hospital
- Psychiatric Hospital Unit
- Pasadena, CA
- NPI 1437121142
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297036800000",
"number": "1003926882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1449",
"city": "BREA",
"state": "CA",
"postal_code": "928221449",
"telephone_number": "714-996-1633",
"fax_number": "714-996-9267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 ALESSANDRO PL",
"address_2": "SUITE 360",
"city": "PASADENA",
"state": "CA",
"postal_code": "911053149",
"telephone_number": "626-793-6133",
"fax_number": "626-793-6135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHRINER",
"first_name": "KIMBERLY",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2011-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "CA",
"license": "A43877",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD RETIREMENT",
"identifier": "110025943",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A438770",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00A438770",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
- Elizabeth Shon, PH.D
- Herbert Shon, PH.D., MSW, LCSW
- Brenda Shorkend, M.A.
- Elizabeth Shouse, PSY.D.
- Rebecca Anne Shpiro
- Shriners Hospitals for Children (Shriners for Children Primary Care Clinic)
- Shriners Hospitals for Children (Shriners for Children Ambulatory Surgical Center)
- Shriners Hospitals for Children
- Shriners Hospitals for Children
- Shriners Hospitals for Children (Shriners for Children Rehabilitation Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.