Individual provider Active NPI

Brian Shih, MD

  • Pain Medicine (Anesthesiology) Physician
  • Valley Village, CA
National Provider Identifier
1063483162
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
A62636 Issued in CA
Practice address
12626 Riverside Dr
Ste 302
Valley Village, CA 91607-3474
Phone
(818) 760-2993
Fax
(818) 760-2999
NPI assigned
Jan 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X A62636 CA Primary

Addresses

Primary practice location

12626 Riverside Dr
Ste 302
Valley Village, CA 91607-3474

Mailing address

12626 Riverside Dr
Ste 302
Valley Village, CA 91607-3474
Phone (818) 986-0200

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
I20050420000498 CA Practitioner - Anesthesiology 3678520954 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1995
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

12626 Riverside Dr
Suite 302
Valley Village, CA 91607-3474
Phone (818) 760-2993

19950 Rinaldi St
Porter Ranch, CA 91326-4141
Phone (818) 403-2400

3413 W Pacific Ave
Suite 100
Burbank, CA 91505-1598
Phone (818) 561-7589

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A62636CAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Surgery Specialists Burbank CurrentSince Oct 1, 2024 Accepting new patients
Providence Facey Medical Foundation CurrentSince Sep 1, 2025 Accepting new patients
Shih Medical Services Inc Pain Medicine CurrentSince Dec 1, 2007 Accepting new patients
Orthopaedic Surgery Specialists Burbank CurrentSince Oct 1, 2024 Accepting new patients
Providence Facey Medical Foundation CurrentSince Sep 1, 2025 Accepting new patients
Brian Shih MD Inc Pain Medicine PastSince Feb 2, 2005 Accepting new patients
Valley Presbyterian Hospital PastSince Dec 1, 2007 Accepting new patients

Locations

3413 W Pacific Ave
Ste 100
Burbank, CA 91505
Phone (818) 561-7589

3413 W Pacific Ave
Ste 100200
Burbank, CA 91505
Phone (818) 841-3936

3413 W Pacific Ave
Ste 200
Burbank, CA 91505
Phone (818) 841-3936

File 50670
Los Angeles, CA 90074

18460 Roscoe Blvd
Northridge, CA 91325
Phone (818) 734-3600

19950 Rinaldi St
Ste 103
Porter Ranch, CA 91326
Phone (818) 403-2400

12626 Riverside Dr
Ste 302
Valley Vlg, CA 91607
Phone (818) 361-0136

Interoperability endpoints

  • Direct secure messaging: bshih3971396@oc.providencedirect.org

Organizations & group practices 7

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": "1138406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1063483162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12626 RIVERSIDE DR",
            "address_2": "STE 302",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073474",
            "telephone_number": "818-986-0200",
            "fax_number": "818-986-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12626 RIVERSIDE DR",
            "address_2": "STE 302",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073474",
            "telephone_number": "818-760-2993",
            "fax_number": "818-760-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIH",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-28",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A62636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Village, CA

Sources for this page

Verify at the official NPI Registry.