Active NPI
Andrew H Shen, MD
- Emergency Medicine Physician
- Torrance, CA
National Provider Identifier
1063517910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A075750
- Practice address
- 3330 Lomita Blvd
Torrance, CA 90505-5002 - Phone
- (310) 517-4785
- NPI assigned
- Sep 14, 2006
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | A075750 | CA | Primary |
Addresses
Primary practice location
3330 Lomita Blvd
Torrance, CA 90505-5002
Mailing address
3330 Lomita Blvd
Torrance, CA 90505-5002
Phone (310) 517-4785
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00292458 | Other | CA | MEDICARE RAILROAD PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A075750 | CA | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1063517910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3330 LOMITA BLVD",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905055002",
"telephone_number": "310-517-4785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3330 LOMITA BLVD",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905055002",
"telephone_number": "310-517-4785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEN",
"first_name": "ANDREW",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A075750",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD PIN",
"identifier": "P00292458",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.