Individual provider Active NPI

Yaming Shi, MD

  • Anesthesiology Physician
  • Hawaiian Gardens, CA
National Provider Identifier
1275561284
Registry record updated Feb 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A81918 Issued in CA
Practice address
21530 Pioneer Blvd
Hawaiian Gardens, CA 90716-2608
Phone
(562) 407-2080
Fax
(562) 407-2082
NPI assigned
Jun 29, 2006
Last updated
Feb 6, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A81918 CA Primary

Addresses

Primary practice location

21530 Pioneer Blvd
Hawaiian Gardens, CA 90716-2608

Mailing address

14120 Alondra Blvd Ste C
Santa Fe Springs, CA 90670-5842
Phone (562) 407-2080

Other identifiers 1

IdentifierTypeStateIssuer
A81918OtherCAMEDICAL LICENSE

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
I20040224001280 CA Practitioner - Anesthesiology 8820984073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1985
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1741 W Romneya Dr
Suite B
Anaheim, CA 92801-1805
Phone (714) 778-0775

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A81918CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yaming Shi MD Inc. CurrentSince Jan 1, 2006 Accepting new patients
Anesthesia Consultants of Fresno Anesthesiology PastSince Sep 17, 2023 Accepting new patients

Locations

1741 W Romneya Dr
Ste B
Anaheim, CA 92801
Phone (714) 332-5000

16543 Carmenita Rd
Cerritos, CA 90703
Phone (562) 219-7251

5562 Philadelphia St
Ste 111
Chino, CA 91710
Phone (909) 464-9119

10900 Warner Ave
Ste 101A
Fountain Valley, CA 92708
Phone (714) 698-1270

21530 Pioneer Blvd
Hawaiian Gdns, CA 90716
Phone (562) 860-0401

14120 Alondra Blvd
Ste C
Santa Fe Springs, CA 90670

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391644800000",
    "number": "1275561284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14120 ALONDRA BLVD STE C",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906705842",
            "telephone_number": "562-407-2080",
            "fax_number": "562-407-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21530 PIONEER BLVD",
            "city": "HAWAIIAN GARDENS",
            "state": "CA",
            "postal_code": "907162608",
            "telephone_number": "562-407-2080",
            "fax_number": "562-407-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHI",
        "first_name": "YAMING",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2014-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A81918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A81918",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawaiian Gardens, CA

Sources for this page

Verify at the official NPI Registry.