NPIMap

Individual provider Active NPI

Brenda Joyce Ross-Shelton, M.D.

  • Maternal & Fetal Medicine Physician
  • West Covina, CA
National Provider Identifier
1467480723
Registry record updated May 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
G71304 Issued in CA
Practice address
1135 S Sunset Ave Ste 402
West Covina, CA 91790-3938
Phone
(626) 337-4425
Fax
(626) 337-4305
NPI assigned
Jun 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X D52050 MD
Maternal & Fetal Medicine Physician 207VM0101X G71304 CA Primary

Addresses

Primary practice location

1135 S Sunset Ave Ste 402
West Covina, CA 91790-3938

Mailing address

1135 S Sunset Ave Ste 402
West Covina, CA 91790-3938
Phone (626) 337-4425

Other identifiers 1

IdentifierTypeStateIssuer
00G713040MedicaidCA

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
I20080626000708 CA Practitioner - Obstetrics/GynecologyPractitioner - Other (Physician) 5395817969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Howard University College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regents of the University of CaliforniaGroup PAC ID 8527223304, 36 clinicians

Practice addresses (Care Compare)

3390 University Ave
Suite 100
Riverside, CA 92501-3315
Phone (951) 827-7793

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as group
Quality
82.43
Promoting interoperability
100
Improvement activities
40
Cost
65.06

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71304CAMDClinical Social Worker
G71304CAMDMaternal & Fetal Medicine Physician
D52050MDMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California CurrentSince May 1, 2019 Accepting new patients
Ucr Health - Psychiatry CurrentSince May 1, 2019 Accepting new patients
Northeast Hospital Corporation Past Accepting new patients
San Antonio Regional Hospital Past Accepting new patients
Ahmc Garfield Medical Center LP Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Southern Maryland Hospital, Inc. Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
Usc Arcadia Hospital Past Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients

Locations

800 S Main St
Corona, CA 92882
Phone (909) 625-5411

19330 Jesse Ln
Ste 100
Riverside, CA 92508
Phone (844) 827-8000

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

3390 University Ave
Ste 1
Riverside, CA 92501
Phone (951) 827-7793

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432166400000",
    "number": "1467480723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 S SUNSET AVE STE 402",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903938",
            "telephone_number": "626-337-4425",
            "fax_number": "626-337-4305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 S SUNSET AVE STE 402",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903938",
            "telephone_number": "626-337-4425",
            "fax_number": "626-337-4305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS-SHELTON",
        "first_name": "BRENDA",
        "middle_name": "JOYCE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2015-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "MD",
            "license": "D52050",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "CA",
            "license": "G71304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G713040",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

Verify at the official NPI Registry.