Active NPI
Yaming Shi, MD
- Anesthesiology Physician
- Hawaiian Gardens, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A81918
- 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, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A81918 | Other | CA | MEDICAL 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| A81918 | CA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yaming Shi MD Inc. | Current | Accepting new patients | |
| Anesthesia Consultants of Fresno | Anesthesiology | Past | 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.
-
- Pain Medicine (Anesthesiology) Physician
- Hawaiian Gardens, CA
- NPI 1992884910
-
- Anesthesiology Physician
- Fresno, CA
- NPI 1124058177
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.