Active NPI
David Shek M.D.,Inc.
- Primary Care Clinic/Center
- Anaheim, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- A30945
- Legal business name
- DAVID SHEK M.D.,INC.
- Practice address
- 1401 S Anaheim Blvd
Anaheim, CA 92805-6214 - Phone
- (714) 772-9800
- Fax
- (714) 772-6800
- NPI assigned
- Nov 4, 2006
- Last updated
- Jun 7, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Shek, M.D.
- Title
- President
- Phone
- (714) 772-9800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | A30945 | CA | Primary |
Addresses
Primary practice location
1401 S Anaheim Blvd
Anaheim, CA 92805-6214
Mailing address
1401 S Anaheim Blvd
Anaheim, CA 92805-6214
Phone (714) 772-9800
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346289915 | Other | CA | NPI FOR DAVID SHEK M.D. |
| 1245319631 | Other | CA | NPI FOR DAVID SHEK MD INC |
| 00A309450 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
239 N Brea Blvd
Brea, CA 92821
Phone (714) 671-0060
11803 Carson St
Hawaiian Gdns, CA 90716
Phone (562) 924-4455
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Anaheim, CA
- NPI 1346289915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162598400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1370563200000",
"number": "1245319631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 S ANAHEIM BLVD",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928056214",
"telephone_number": "714-772-9800",
"fax_number": "714-772-6800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 S ANAHEIM BLVD",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928056214",
"telephone_number": "714-772-9800",
"fax_number": "714-772-6800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID SHEK M.D.,INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-04",
"last_updated": "2013-06-07",
"status": "A",
"authorized_official_last_name": "SHEK",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-772-9800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "CA",
"license": "A30945",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI FOR DAVID SHEK M.D.",
"identifier": "1346289915",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI FOR DAVID SHEK MD INC",
"identifier": "1245319631",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A309450",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
- David Holstein, MD, Inc
- David Hunglan DO MD Family Medicine and Hea
- David Nejat-Bina M.D.,Inc.
- David S Kramer MD a Professional Corporation
- David S Kramer MD a Professional Corporation
- Raffaele A. Davidovich, MD
- Sandra Lee Davidson
- Ashlyn N Davies, PHARM.D,
- Nicholas Geoffrey Davies
- Eugene Looper Davila
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.