Individual provider Active NPI

Cindy Xinchun Shu, MD

  • Internal Medicine Physician
  • Monterey Park, CA
National Provider Identifier
1164438677
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A70106 Issued in CA
Practice address
455 N Garfield Ave
Suite 200
Monterey Park, CA 91754-1201
Phone
(626) 573-3344
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A70106 CA Primary

Addresses

Primary practice location

455 N Garfield Ave
Suite 200
Monterey Park, CA 91754-1201

Mailing address

1045 Atlantic Ave
Suite 705
Long Beach, CA 90813-3408
Phone (562) 491-9281

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
I20050930000734 CA Practitioner - DermatologyPractitioner - Internal Medicine 8325073026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

401 N Garfield Ave
Suite 202
Monterey Park, CA 91754-1207
Phone (626) 573-3344

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions753
Removal or shaving of skin growth102
Skin biopsy11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A70106CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cindy Shu Medical Group, Inc. Internal Medicine CurrentSince Aug 1, 2006 Accepting new patients
Ahmc Garfield Medical Center LP PastSince Jan 11, 2016 Accepting new patients

Locations

1045 Atlantic Ave
Ste 705
Long Beach, CA 90813
Phone (562) 491-9000

401 N Garfield Ave
Ste 202
Monterey Park, CA 91754
Phone (626) 573-3344

455 N Garfield Ave
Ste 200
Monterey Park, CA 91754
Phone (626) 573-3344

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164438677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 ATLANTIC AVE",
            "address_2": "SUITE 705",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133408",
            "telephone_number": "562-491-9281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 N GARFIELD AVE",
            "address_2": "SUITE 200",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541201",
            "telephone_number": "626-573-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHU",
        "first_name": "CINDY",
        "middle_name": "XINCHUN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A70106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

Verify at the official NPI Registry.