Individual provider Active NPI

David Shek, M.D.

  • Family Medicine Physician
  • Anaheim, CA
National Provider Identifier
1346289915
Registry record updated Jun 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A30945 Issued in CA
Practice address
1401 S Anaheim Blvd
Anaheim, CA 92805-6214
Phone
(714) 772-9800
Fax
(714) 772-6800
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 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 1

IdentifierTypeStateIssuer
00A309450MedicaidCA

Other names 1

  • Dr. David Shek Professional name

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
I20080229000276 CA Practitioner - General PracticePractitioner - Pediatric Medicine 0345324349 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Pediatric Medicine
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Choice Aco IncGroup PAC ID 7719379395, 60 clinicians

Practice addresses (Care Compare)

1401 S Anaheim Blvd
Anaheim, CA 92805-6246
Phone (714) 772-9800

7631 Wyoming St
Suite 201
Westminster, CA 92683-3904
Phone (714) 898-0765

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A30945CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David Shek M.D.,Inc. CurrentSince Apr 30, 2003 Accepting new patients
Family Choice Aco Inc CurrentSince Jun 5, 2023 Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Children'S Hospital of Orange County Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Anaheim Global Medical Center, Inc Past Accepting new patients
Northwestern Medical Center Inc Past Accepting new patients
Dignity Health Past Accepting new patients
Anaheim Memorial Medical Center Past Accepting new patients
University of California Irvine Past Accepting new patients
Pih Health Downey Hospital Past Accepting new patients

Locations

1401 S Anaheim Blvd
Anaheim, CA 92805
Phone (714) 772-9800

11803 Carson St
Hawaiian Gdns, CA 90716
Phone (562) 924-4455

7631 Wyoming St
Ste 201
Westminster, CA 92683
Phone (714) 898-0765

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370563200000",
    "number": "1346289915",
    "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": {
        "last_name": "SHEK",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2013-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A30945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A309450",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "SHEK",
            "prefix": "DR.",
            "credential": "M.D.,INC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.