Active NPI
Chin Shun Shih, M.D.
- Cardiovascular Disease Physician
- Monterey Park, CA
National Provider Identifier
1013935154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- A34731
- 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, 2010
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A34731 | Medicaid | CA |
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 |
|---|---|---|---|---|
| I20100816000267 | CA | Practitioner - Cardiovascular Disease (Cardiology) | 2264566025 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A34731 | CA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chin Shun Shih MD Inc | Cardiovascular Disease | Current | 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.
-
- Cardiovascular Disease Physician
- Monterey Park, CA
- NPI 1992739163
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; 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.