Individual provider Active NPI

Aldric Jaeseung Shim, MD

  • Diagnostic Radiology Physician
  • Monterey Park, CA
National Provider Identifier
1114146560
Registry record updated Mar 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A77053 Issued in CA
Practice address
1066 Ridgeside Dr
Monterey Park, CA 91754-3729
Phone
(888) 888-8888
NPI assigned
Apr 24, 2007
Last updated
Mar 20, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A77053 CA Primary

Addresses

Primary practice location

1066 Ridgeside Dr
Monterey Park, CA 91754-3729

Mailing address

1066 Ridgeside Dr
Monterey Park, CA 91754-3729

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
I20080314000376 CA Practitioner - Diagnostic Radiology 5991880957 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Southern California Keck School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Menalam Health Services PCGroup PAC ID 7012319163, 89 clinicians
United Medical DoctorsGroup PAC ID 2961305651, 168 clinicians
Focus Medical ImagingGroup PAC ID 6406999259, 95 clinicians

Practice addresses (Care Compare)

1401 S Grand Ave
Los Angeles, CA 90015-3010
Phone (877) 406-2916

14850 Roscoe Blvd
Panorama City, CA 91402-4618
Phone (877) 406-2916

18321 Clark St
Tarzana, CA 91356-3501
Phone (877) 406-2916

2083 Compton Ave
Suite 104
Corona, CA 92881-7288
Phone (951) 837-3151

210 W San Bernardino Rd
Covina, CA 91723-1515
Phone (877) 406-2916

250 S Grand Ave
Glendora, CA 91741-4218
Phone (877) 406-2916

2801 Atlantic Ave
Long Beach, CA 90806-1701
Phone (562) 933-2000

2975 Sycamore Dr
Simi Valley, CA 93065-1201
Phone (805) 955-6000

400 Newport Ctr Dr
Suite 609
Newport Beach, CA 92660-7695
Phone (949) 760-0398

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
98.21 of 100Reported as group
Quality
92.22
Improvement activities
40
Cost
74.96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A77053CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Imaging Partners CurrentSince May 11, 2021 Accepting new patients
Mountain Communities Healthcare District CurrentSince Sep 1, 2023 Accepting new patients
United Medical Doctors CurrentSince Oct 1, 2019 Accepting new patients
Mink Radiologic Imaging Medical Associates, Inc. Diagnostic Radiology CurrentSince Nov 1, 2020 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Nov 15, 2023 Accepting new patients
Mountain Communities Healthcare District CurrentSince Sep 1, 2023 Accepting new patients
Focus Medical Imaging Diagnostic Radiology CurrentSince Jan 1, 2010 Accepting new patients
Focus Medical Imaging Diagnostic Radiology Current Accepting new patients
Mountain Communities Healthcare District Current Accepting new patients
United Medical Doctors CurrentSince Oct 1, 2019 Accepting new patients
Breast Center of Irvine Inc CurrentSince Aug 17, 2020 Accepting new patients
Menalam Health Services PC Past Accepting new patients
Ahmc Garfield Medical Center LP Past Accepting new patients
Alhambra Hospital Medical Center, LP Past Accepting new patients
Ahmc Greater El Monte Comm Hosp LLC Past Accepting new patients

Locations

8670 Wilshire Blvd
Ste 101
Beverly Hills, CA 90211
Phone (310) 358-2100

2083 Compton Ave
Ste 104
Corona, CA 92881
Phone (951) 256-8191

521 E Elder St
Ste 104
Fallbrook, CA 92028
Phone (760) 728-9560

267 S San Pedro St
Unit 261
Los Angeles, CA 90012
Phone (310) 600-3430

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

309 W Beverly Blvd
Montebello, CA 90640
Phone (323) 725-4209

400 Newport Center Dr
Ste 609
Newport Beach, CA 92660
Phone (949) 760-0398

9041 Magnolia Ave
Ste 101
Riverside, CA 92503
Phone (951) 687-5755

2975 Sycamore Dr
Simi Valley, CA 93065
Phone (805) 522-2500

5315 Torrance Blvd
Ste 100
Torrance, CA 90503
Phone (310) 316-6190

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9170/brand/1/csg/1/fhir/r4

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489968000000",
    "number": "1114146560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1066 RIDGESIDE DR",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917543729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1066 RIDGESIDE DR",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917543729",
            "telephone_number": "888-888-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIM",
        "first_name": "ALDRIC",
        "middle_name": "JAESEUNG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2017-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A77053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

Verify at the official NPI Registry.