Organization Active NPI

Anna Shi MD Inc

  • Ophthalmology Physician
  • Monterey, CA
National Provider Identifier
1053168443
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
ANNA SHI MD INC
Practice address
21 Upper Ragsdale Dr Ste 200
Monterey, CA 93940-7858
Phone
(831) 372-1500
Fax
(831) 655-6493
NPI assigned
May 2, 2024
Last updated
May 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Authorized official

Name
Adrianne Rojas
Title
Practice Administration
Phone
(831) 372-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X Primary

Addresses

Primary practice location

21 Upper Ragsdale Dr Ste 200
Monterey, CA 93940-7858

Mailing address

21 Upper Ragsdale Dr Ste 200
Monterey, CA 93940-7858
Phone (831) 372-1500

Other names 1

  • Monterey Bay Eye Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240830001346 CA Part B Supplier - Clinic/Group Practice 9830638139 Receives reassigned benefits from 1 practitioner
Practice locations: Monterey, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1714608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1053168443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 UPPER RAGSDALE DR STE 200",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939407858",
            "telephone_number": "831-372-1500",
            "fax_number": "831-655-6493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 UPPER RAGSDALE DR STE 200",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939407858",
            "telephone_number": "831-372-1500",
            "fax_number": "831-655-6493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNA SHI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-02",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A",
        "authorized_official_last_name": "ROJAS",
        "authorized_official_first_name": "ADRIANNE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATION",
        "authorized_official_telephone_number": "831-372-1500"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monterey Bay Eye Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Monterey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.