Shinya Ishii, M.D.

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

A99135 Issued in CA

Practice address

10945 Le Conte Ave
Ste. 2339
Los Angeles, CA 90095-3000

Phone

(310) 825-8253

Fax

(310) 794-2199

NPI assigned

Apr 8, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1175990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207958400000",
    "number": "1164545976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10945 LE CONTE AVE",
            "address_2": "STE. 2339",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900953000",
            "telephone_number": "310-825-8253",
            "fax_number": "310-794-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10945 LE CONTE AVE",
            "address_2": "STE. 2339",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900953000",
            "telephone_number": "310-825-8253",
            "fax_number": "310-794-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISHII",
        "first_name": "SHINYA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-08",
        "last_updated": "2008-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A99135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Frances Isham, MSN, PMHNP
• Megan Ishibashi, DPM
• Rebecca Kimiko Ishida, MFT
• Traci Keiko Ishigo, MSW
• Kristen Ishii
• David Ishimitsu, M.D.
• Mariko Ishimori, M.D.
• Cara Ishisaka
• Akira Ishiyama, MD
• Gail Patrice Ishiyama, MD

• All providers in Los Angeles, CA
• Geriatric Medicine (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2008; 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.