Individual provider Active NPI

Chin Shun Shih, M.D.

  • Cardiovascular Disease Physician
  • Monterey Park, CA
National Provider Identifier
1013935154
Registry record updated Aug 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A34731 Issued in CA
Practice address
223 N Garfield Ave Ste 305
Monterey Park, CA 91754-1700
Phone
(626) 573-1941
Fax
(626) 573-5624
NPI assigned
Jul 17, 2006
Last updated
Aug 13, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A34731 CA Primary

Addresses

Primary practice location

223 N Garfield Ave Ste 305
Monterey Park, CA 91754-1700

Mailing address

223 N Garfield Ave Ste 305
Monterey Park, CA 91754-1700
Phone (626) 573-1941

Other identifiers 1

IdentifierTypeStateIssuer
A34731MedicaidCA

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
I20100816000267 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2264566025

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A34731CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chin Shun Shih MD Inc Cardiovascular Disease CurrentSince Jun 1, 2010 Accepting new patients

Locations

223 N Garfield Ave
Ste 305
Monterey Park, CA 91754
Phone (626) 307-0797

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281657600000",
    "number": "1013935154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 N GARFIELD AVE STE 305",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541700",
            "telephone_number": "626-573-1941",
            "fax_number": "626-573-5624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 N GARFIELD AVE STE 305",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541700",
            "telephone_number": "626-573-1941",
            "fax_number": "626-573-5624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIH",
        "first_name": "CHIN SHUN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2010-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A34731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A34731",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

Verify at the official NPI Registry.