John T Shen MD, Corp

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A86100 Issued in CA

Legal business name

JOHN T SHEN MD, CORP

Practice address

27403 Ynez Rd
Suite 106
Temecula, CA 92591-5603

Phone

(951) 526-2044

Fax

(951) 332-9008

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Karen Nelson Shen

Title

Administrator

Phone

(951) 302-0959

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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.

• John Tze-Chiang Shen, M.D.

  • Specialist
  • Temecula, CA
  • NPI 1902812159
  Medicare reassignment NPD

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1306991625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27403 YNEZ RD",
            "address_2": "SUITE 106",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925915603",
            "telephone_number": "951-526-2044",
            "fax_number": "951-332-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27403 YNEZ RD",
            "address_2": "SUITE 106",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925915603",
            "telephone_number": "951-526-2044",
            "fax_number": "951-332-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN T SHEN MD, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "SHEN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "NELSON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "951-302-0959",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A86100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUESHIELD",
            "identifier": "00A861000",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "P00399725",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "DF8874",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• JJ Kemp Enterprises (Little Trees Pediatric Therapy)
• Caralie Jodlowski, LMFT
• Jessica Hope Johanson
• John G Ellis MD Inc
• John P. Santoro, D.P.M.
• Gabrielle John
• Kimberly Ann Johns, MSW ASW
• Heidi Lynn Johnson Schmidt, DC, ATC
• Latalya Chalice Johnson-Jenkins
• Sana L. Johnson-Quijada, M.D.

• Dermatology Physician in Temecula, CA
• Providers in Temecula, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.

Verify at the official NPI Registry.