Individual provider Active NPI

Catherine Shey-Hwa Ni, M.D.

  • Dermatology Physician
  • Encino, CA
National Provider Identifier
1013371343
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A152607 Issued in CA
Practice address
16260 Ventura Blvd Ste 530
Encino, CA 91436-2248
Phone
(818) 788-4022
NPI assigned
Apr 13, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A152607 CA Primary

Addresses

Primary practice location

16260 Ventura Blvd Ste 530
Encino, CA 91436-2248

Mailing address

16260 Ventura Blvd Ste 530
Encino, CA 91436-2248

Other practice location 1

14445 Olive View Dr
Rm 2B182
Sylmar, CA 91342-1437
Phone (818) 364-3205

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

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
I20191114001079 CA Practitioner - Dermatology 2365874245 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12301 Wilshire Blvd
Los Angeles, CA 90025-1000
Phone (310) 207-8900

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions374
Removal or shaving of skin growth1-10
Skin biopsy119

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A152607CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group Current Accepting new patients
Joshua M Wieder MD Inc Dermatology CurrentSince Feb 12, 2024 Accepting new patients
Southern California Permanente Medical Group CurrentSince Sep 9, 2019 Accepting new patients
Southern California Permanente Medical Group CurrentSince Sep 9, 2019 Accepting new patients
Indianer, Lask & Rosenzweig, M.D.'S, Dermatology Group, a Medical Corp CurrentSince Aug 24, 2020 Accepting new patients
Regents Univ of Calif Los Angeles PastSince Aug 23, 2020 Accepting new patients

Locations

16260 Ventura Blvd
Ste 530
Encino, CA 91436
Phone (818) 788-4022

6041 Cadillac Ave
Los Angeles, CA 90034
Phone (323) 857-2000

12301 Wilshire Blvd
Ste 201
Los Angeles, CA 90025
Phone (310) 207-8900

Organizations & group practices 6

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": "1460505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1013371343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16260 VENTURA BLVD STE 530",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16260 VENTURA BLVD STE 530",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362248",
            "telephone_number": "818-788-4022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14445 Olive View Dr",
            "address_2": "Rm 2B182",
            "address_purpose": "LOCATION",
            "city": "Sylmar",
            "state": "CA",
            "postal_code": "913421437",
            "country_code": "US",
            "telephone_number": "818-364-3205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NI",
        "first_name": "CATHERINE",
        "middle_name": "SHEY-HWA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-13",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A152607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "6041 Cadillac Ave",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900341702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.