Michael Shen

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E5506 Issued in CA

Practice address

5445 Del Amo Blvd
Lakewood, CA 90712-2760

Phone

(562) 866-4046

NPI assigned

Apr 6, 2016

Last updated

Jul 19, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Temple University School of Podiatric Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Providence Podiatry Care IncGroup PAC ID 6507256708, 5 clinicians

Convalescent Podiatry Care a Professional CorporationGroup PAC ID 7315470036, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

21.12 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

70.38

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Convalescent Podiatry Care a Professional Corporation

  dba Convalescent Podiatry Care

  • Podiatrist
  • Lakewood, CA
  • NPI 1306606579
  Medicare reassignment Care Compare group NPD
• Providence Podiatry Care, Inc

  • Foot & Ankle Surgery Podiatrist
  • San Bernardino, CA
  • NPI 1376202986
  Medicare reassignment Care Compare group NPD
• Carrasco Podiatry Corporation

  • Podiatrist
  • Rancho Cucamonga, CA
  • NPI 1043339260
  Medicare reassignment NPD
• Jeffrey Demian Inc

  dba Anywhere Foot and Ankle Care

  • Foot & Ankle Surgery Podiatrist
  • Torrance, CA
  • NPI 1306339759
  Medicare reassignment NPD
• Jooyoung Han, DPM

  • Podiatrist
  • Lakewood, CA
  • NPI 1023540325
  Medicare reassignment
• Convalescent Podiatry Care

  • Podiatrist
  • Lakewood, CA
  • NPI 1568576528
  NPD (past)
• James F Eggold

  • Podiatrist
  • Riverside, CA
  • NPI 1720276058
  NPD (past)
• Providence Podiatry Care, Inc.

  dba Providence Podiaty Care, Inc

  • Foot & Ankle Surgery Podiatrist
  • Rancho Cucamonga, CA
  • NPI 1033881735
  NPD (past)

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752883200000",
    "number": "1366806291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24310 MOULTON PARKWAY STE O",
            "address_2": "#269",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926372650",
            "telephone_number": "562-866-4046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5445 DEL AMO BLVD",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907122760",
            "telephone_number": "562-866-4046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEN",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-06",
        "last_updated": "2025-07-19",
        "certification_date": "2025-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E5506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mansoor S Shah, MD
• Ram Shahda
• Shaival Mayank Patel, MD, Inc.
• Padmanabha S Shakkottai, M.D.
• Claudia Louise Shea, PT
• Vanessa Sherwood
• Yili Shi
• Whasub David Shim, RPH
• Seth S. Shimono, DDS
• Constance Shin, LMFT

• Podiatrist in Lakewood, CA
• Providers in Lakewood, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2025; 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.