Individual provider Active NPI

Jonathan Mou Jun Shiau, M.D.

  • Urology Physician
  • Newport Beach, CA
National Provider Identifier
1134407166
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
143632 Issued in CA
Practice address
280 Newport Center Dr Ste 235
Newport Beach, CA 92660-7524
Phone
(949) 593-6797
Fax
(949) 276-3221
NPI assigned
Jul 25, 2011
Last updated
Mar 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 143632 CA Primary

Addresses

Primary practice location

280 Newport Center Dr Ste 235
Newport Beach, CA 92660-7524

Mailing address

280 Newport Center Dr Ste 235
Newport Beach, CA 92660-7524
Phone (949) 593-6797

Other identifiers 1

IdentifierTypeStateIssuer
1134407166MedicaidWI

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
I20160831002404 CA Practitioner - Urology 6103058573 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of California, San Diego School of Medicine, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Central Valley General HospitalGroup PAC ID 8325957517, 89 clinicians
Andrew Nguyen DO a Professional Medical CorporationGroup PAC ID 5092168740, 6 clinicians

Practice addresses (Care Compare)

1025 N Douty St
Hanford, CA 93230-3722

1524 W Lacey Blvd
Hanford, CA 93230-5965

1524 W Lacey Blvd
Suite 101
Hanford, CA 93230-5990
Phone (559) 583-4695

19066 Magnolia St
Huntington Beach, CA 92646-2232
Phone (714) 968-0068

280 Newport Ctr Dr
Suite 110
Newport Beach, CA 92660-7541
Phone (949) 478-3305

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
143632CAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network Current Accepting new patients
Adventist Health Physicians Network CurrentSince Apr 7, 2025 Accepting new patients
Andrew Nguyen DO a Professional Medical Corporation CurrentSince Dec 1, 2025 Accepting new patients
Adventist Health Physicians Network CurrentSince Apr 7, 2025 Accepting new patients
Reedley Community Hospital CurrentSince Mar 1, 2025 Accepting new patients
Healthcare Partners Affiliates Medical Group Current Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Sep 1, 2016 Accepting new patients
Reedley Community Hospital CurrentSince Mar 1, 2025 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Sep 1, 2016 Accepting new patients
Memorial Medical Group Inc Past Accepting new patients
Anaheim Memorial Medical Center Past Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864

2910 Jefferson St
Ste 100
Carlsbad, CA 92008
Phone (760) 729-8600

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

1501 W Commonwealth Ave
Fullerton, CA 92833
Phone (714) 410-3100

1025 N Douty St
Hanford, CA 93230
Phone (559) 537-0170

1524 W Lacey Blvd
Ste 101
Hanford, CA 93230
Phone (559) 583-4695

19066 Magnolia St
Huntington Beach, CA 92646
Phone (714) 378-2225

1781 Simpson St
Kingsburg, CA 93631
Phone (559) 315-3566

280 Newport Center Dr
Ste 110
Newport Beach, CA 92660
Phone (949) 478-3305

601 Torrance Blvd
#1182
Redondo Beach, CA 90277

372 W Cypress Ave
Reedley, CA 93654
Phone (559) 391-3110

1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611

1820 E Warm Springs Rd
Ste 130
Las Vegas, NV 89119

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jonathanshiau@hcpca.allscriptsdirect.net

Organizations & group practices 12

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.

Hospital & facility affiliations 2

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": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1134407166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 NEWPORT CENTER DR STE 235",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607524",
            "telephone_number": "949-593-6797",
            "fax_number": "949-276-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 NEWPORT CENTER DR STE 235",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607524",
            "telephone_number": "949-593-6797",
            "fax_number": "949-276-3221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIAU",
        "first_name": "JONATHAN",
        "middle_name": "MOU JUN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-25",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "143632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134407166",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.