Shoreline Health LLC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

SHORELINE HEALTH LLC

Practice address

129 43Rd St
Newport Beach, CA 92663-2927

Phone

(949) 500-9540

NPI assigned

Nov 8, 2023

Organization subpart

No

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

Authorized official

Name

Alberto Chavez, CEO

Title

Ceo

Phone

(949) 500-9540

Specialties & licenses 1

Addresses

Other names 1

• Shoreline Health LLC Former legal business name

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

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1073387320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 43RD ST",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926632927",
            "telephone_number": "949-500-9540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 43RD ST",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926632927",
            "telephone_number": "949-500-9540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "ALBERTO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-500-9540",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shoreline Health LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Pedram Shojai, L.AC.
• Sholeh Shahinfar, Speech Language Pathology Inc
• Stephen D Sholkoff, MD
• Ayako Niva Shono, BS, MPT
• Nicole Sue Aline Shook, NURSE PRACTITIONER
• Shoreline Senior Solutions Corporation
• Catherine Ann Shreenan, LMFT
• Samantha Shtockmaster
• George Shunda
• Julie Sias

• Geriatric Medicine (Internal Medicine) Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Geriatric Medicine (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.