NPIMap

Individual provider Active NPI

Adrian Harry Shandling, MD

  • Cardiovascular Disease Physician
  • Los Alamitos, CA
National Provider Identifier
1386640522
Registry record updated Jun 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A41635 Issued in CA
Practice address
3801 Katella Ave
Suite 401
Los Alamitos, CA 90720-3375
Phone
(562) 598-3200
Fax
(562) 799-3646
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A41635 CA Primary
Clinical Cardiac Electrophysiology Physician 207RC0001X A41635 CA

Addresses

Primary practice location

3801 Katella Ave
Suite 401
Los Alamitos, CA 90720-3375

Mailing address

3801 Katella Ave
Suite 401
Los Alamitos, CA 90720-3375
Phone (562) 598-3200

Other identifiers 1

IdentifierTypeStateIssuer
00A416350MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100811001111 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4981768421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University College of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Care IncGroup PAC ID 5890738868, 6 clinicians

Practice addresses (Care Compare)

3801 Katella Ave
Suite 401
Los Alamitos, CA 90720-3375
Phone (562) 594-1772

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.69 of 100Reported as group
Quality
80.77
Promoting interoperability
88
Improvement activities
40
Cost
68.21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A41635CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California Irvine Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: adrianshandling@cc.allscriptsdirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277337600000",
    "number": "1386640522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 KATELLA AVE",
            "address_2": "SUITE 401",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203375",
            "telephone_number": "562-598-3200",
            "fax_number": "562-799-3646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 KATELLA AVE",
            "address_2": "SUITE 401",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203375",
            "telephone_number": "562-598-3200",
            "fax_number": "562-799-3646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANDLING",
        "first_name": "ADRIAN",
        "middle_name": "HARRY",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2010-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A41635",
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "CA",
            "license": "A41635",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A416350",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

Verify at the official NPI Registry.