Individual provider Active NPI

Julia Yu Wen Shih, M.A.

  • Audiologist
  • Pasadena, CA
National Provider Identifier
1073705117
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AU868 Issued in CA
Practice address
960 E Green St Ste 208
Pasadena, CA 91106-2401
Phone
(646) 796-4535
Fax
(646) 796-4935
NPI assigned
Aug 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X HA1953 CA
Audiologist 231H00000X AU868 CA Primary

Addresses

Primary practice location

960 E Green St Ste 208
Pasadena, CA 91106-2401

Mailing address

4140 W 190TH St # 101
Torrance, CA 90504-5513
Phone (626) 796-4535

Other practice location 1

2623 E Foothill Blvd
#101
Pasadena, CA 91107-3466
Phone (626) 796-4535

Other identifiers 4

IdentifierTypeStateIssuer
HA0019530MedicaidCA
ZZZ20301ZOtherBLUE SHIELD
AU0008680MedicaidCA
ZZZ20299ZOtherBLUE SHIELD

Other names 1

  • Ms. Yu Wen Yu Wen Shih Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040713000556 CA Practitioner - Qualified Audiologist 6002894227 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2623 E Foothill Blvd
Suite 101
Pasadena, CA 91107-3466
Phone (626) 796-4535

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
868CAMDHand Occupational Therapist
AU868CAMDAudiologist
HA1953CAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
JSMB, Inc CurrentSince Sep 22, 2009 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Oct 25, 2023 Accepting new patients
Pih Health Whittier Hospital Past Accepting new patients
Ahmc Monterey Park Hospital LP Past Accepting new patients
Ahmc San Gabriel Valley Medical Past Accepting new patients
Ahmc Garfield Medical Center LP Past Accepting new patients

Locations

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

2623 E Foothill Blvd
Ste 101
Pasadena, CA 91107
Phone (626) 796-4535

16 N Marengo Ave
Ste 206
Pasadena, CA 91101
Phone (626) 796-4535

960 E Green St
Ste 208
Pasadena, CA 91106
Phone (424) 314-0196

4140 W 190th St
#101
Torrance, CA 90504

4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780

Organizations & group practices 6

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": "1186963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1073705117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 W 190TH ST # 101",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905045513",
            "telephone_number": "626-796-4535",
            "fax_number": "626-796-4935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 E GREEN ST STE 208",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911062401",
            "telephone_number": "646-796-4535",
            "fax_number": "646-796-4935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2623 E Foothill Blvd",
            "address_2": "#101",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911073466",
            "country_code": "US",
            "telephone_number": "626-796-4535",
            "fax_number": "626-796-4935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIH",
        "first_name": "JULIA",
        "middle_name": "YU WEN",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-13",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA1953",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HA0019530",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ20301Z",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AU0008680",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ20299Z",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YU WEN",
            "last_name": "SHIH",
            "middle_name": "YU WEN",
            "prefix": "MS.",
            "credential": "AUD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

  • 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.