Organization Active NPI

Michael W Shen, M.D., Inc

  • Neurology Physician
  • Laguna Hills, CA
National Provider Identifier
1386811644
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A80928 Issued in CA
Legal business name
MICHAEL W SHEN, M.D., INC
Practice address
23961 Calle de la Magdalena
Suite 317
Laguna Hills, CA 92653-3616
Phone
(949) 837-1133
Fax
(949) 581-9189
NPI assigned
May 14, 2008
Last updated
May 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Authorized official

Name
Dr. Michael W Shen, MDNPI 1154402238
Title
Owner/Self
Phone
(949) 837-1133

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A80928 CA Primary

Addresses

Primary practice location

23961 Calle de la Magdalena
Suite 317
Laguna Hills, CA 92653-3616

Mailing address

23961 Calle de la Magdalena
Suite 317
Laguna Hills, CA 92653-3616
Phone (949) 837-1133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090106000235 CA Part B Supplier - Clinic/Group Practice 9830252675 Receives reassigned benefits from 1 practitioner
Practice locations: Laguna Hills, CA

National Provider Directory

National Provider Directory

Locations

23961 Calle de la Magdalena
Ste 317
Laguna Hills, CA 92653
Phone (949) 837-1133

24012 Calle de la Plata
Ste 150
Laguna Hills, CA 92653
Phone (949) 837-1130

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1386811644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23961 CALLE DE LA MAGDALENA",
            "address_2": "SUITE 317",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533616",
            "telephone_number": "949-837-1133",
            "fax_number": "949-581-9189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23961 CALLE DE LA MAGDALENA",
            "address_2": "SUITE 317",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533616",
            "telephone_number": "949-837-1133",
            "fax_number": "949-581-9189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL W SHEN, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "SHEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/SELF",
        "authorized_official_telephone_number": "949-837-1133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A80928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.