Nick Melvin Shillingford, M.D

Primary specialty

Pediatric Pathology PhysicianTaxonomy code 207ZP0213X

License

A125802 Issued in CA

Practice address

4650 W Sunset Blvd
Ms # 43
Los Angeles, CA 90027

Phone

(323) 361-5917

Fax

(323) 361-1087

NPI assigned

Jul 13, 2008

Last updated

Jul 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Pathology

Education

Other, 2003

Medicare assignment

May accept Medicare assignment

Group practices

Chlamg-Pathology LPGroup PAC ID 8527245224, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Chlamg-Pathology LP

  • Anatomic Pathology & Clinical Pathology Physician
  • Los Angeles, CA
  • NPI 1316241102
  Medicare reassignment Care Compare group
• Children's Hospital Los Angeles

  • Children's Chronic Disease Hospital
  • Los Angeles, CA
  • NPI 1366527954
  NPD (past)
• Childrens Hospital of Los Angeles

  • Children's Hospital
  • Los Angeles, CA
  • NPI 1124073366
  NPD (past)

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

{
    "created_epoch": "1215907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1346404969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19024 110TH RD",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114122002",
            "telephone_number": "646-719-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 W SUNSET BLVD",
            "address_2": "MS # 43",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90027",
            "telephone_number": "323-361-5917",
            "fax_number": "323-361-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHILLINGFORD",
        "first_name": "NICK",
        "middle_name": "MELVIN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-13",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0213X",
            "taxonomy_group": "",
            "desc": "Pathology, Pediatric Pathology",
            "state": "CA",
            "license": "A125802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peggy Shih
• Ramona Shih, RD
• Terri Shih
• Angela Shihady, O.D.
• Asna Shilleh, NP
• Shiloh Ag and Associates LLC
• Shiloh Family Pharmacy,Inc. (shiloh family pharmacy)
• Shiloh Gog Ministries
• Albert Lee Shim, MD
• Jae Rock Shim, CRNA

• Pediatric Pathology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Pediatric Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; 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.

Verify at the official NPI Registry.