Active NPI
Audrey Shi
- Internal Medicine Physician
- Santa Monica, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A160403
- Practice address
- 1250 16TH St # C2304
Santa Monica, CA 90404-1249 - Phone
- (310) 319-4698
- NPI assigned
- Mar 18, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A160403 | CA | Primary |
Addresses
Primary practice location
1250 16TH St # C2304
Santa Monica, CA 90404-1249
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A160403 | Other | CA | STATE 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
- Internal Medicine
- Education
- Temple University School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3555 Cesar Chavez
San Francisco, CA 94110-4403
Phone (415) 485-8824
Hospital & facility affiliations
- California Pacific Medical Ctr-Davies Campus Hosp
- California Pacific Medical Center - Mission Bernal
- California Pacific Medical Center- Van Ness Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 90
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.43
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A160403 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Los Angeles | Current | Accepting new patients | |
| County of Los Angeles Auditor Controller | Current | Accepting new patients | |
| Superior Hospitalist Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| County of Los Angeles | Current | Accepting new patients | |
| Pacific Inpatient Medical Group | Internal Medicine | Current | Accepting new patients |
Locations
1680 E 120th St
Los Angeles, CA 90059
Phone (424) 338-8000
1101 Van Ness Ave
San Francisco, CA 94109
Phone (415) 485-8824
3555 Cesar Chavez
San Francisco, CA 94110
Phone (415) 485-8824
14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303
Interoperability endpoints
- ashi589345@hisp.ehr.sutterhealth.org
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1447447248
-
- General Acute Care Hospital
- Torrance, CA
- NPI 1851363188
-
- Hospitalist Physician
- Los Angeles, CA
- NPI 1780047712
Internal Medicine
-
- Clinic/Center
- Los Angeles, CA
- NPI 1295407401
-
- General Acute Care Hospital
- Sylmar, CA
- NPI 1134159320
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1659439834
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1730238007
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1740348929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1376084798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 16TH ST # C2304",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904041249",
"telephone_number": "310-319-4698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHI",
"first_name": "AUDREY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-18",
"last_updated": "2023-03-07",
"certification_date": "2020-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A160403",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "A160403",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.