Active NPI
Angell C Shieh, MD, PHD
- Pediatrics Physician
- La Jolla, CA
National Provider Identifier
1063709020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A120963
- Practice address
- 7300 Girard Ave
Suite 106
La Jolla, CA 92037-5138 - Phone
- (858) 459-4351
- NPI assigned
- Jun 28, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A120963 | CA | Primary |
Addresses
Primary practice location
7300 Girard Ave
Suite 106
La Jolla, CA 92037-5138
Mailing address
7300 Girard Ave
Suite 106
La Jolla, CA 92037-5138
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)
- Not enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A120963 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Primary Care Medical Group, Inc. | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/7922/brand/1/csg/1/fhir/r4
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 and National Provider Directory roles.
-
- Pediatrics Physician
- San Diego, CA
- NPI 1184788291
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411084800000",
"number": "1063709020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7300 GIRARD AVE",
"address_2": "SUITE 106",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920375138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7300 GIRARD AVE",
"address_2": "SUITE 106",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920375138",
"telephone_number": "858-459-4351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIEH",
"first_name": "ANGELL",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-28",
"last_updated": "2014-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A120963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.