Individual provider Active NPI

Benjamin Shanker, MD

  • Anesthesiology Physician
  • Long Beach, CA
National Provider Identifier
1477843167
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A123184 Issued in CA
Practice address
5901 E 7TH St
Long Beach, CA 90822
Phone
(562) 826-8000
NPI assigned
Apr 14, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A123184 CA Primary

Addresses

Primary practice location

5901 E 7TH St
Long Beach, CA 90822

Mailing address

14004 Chandler Blvd
Sherman Oaks, CA 91401-5736
Phone (408) 314-9221

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170125002630 CA Practitioner - Anesthesiology 2466761911 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
G2 Anesthesia PCGroup PAC ID 3375873599, 104 clinicians

Practice addresses (Care Compare)

2425 Samaritan Dr
San Jose, CA 95124-3908
Phone (408) 559-2011

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A123184CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
G2 Anesthesia PC Anesthesiology CurrentSince Jan 1, 2020 Accepting new patients
Orange Coast Anesthesia Inc Anesthesiology CurrentSince Jun 15, 2018 Accepting new patients
KND Development 59 LLC Current Accepting new patients
KND Development 59 LLC CurrentSince Dec 19, 2016 Accepting new patients
KND Development 59, LLC CurrentSince Dec 19, 2016 Accepting new patients
Joan Oloff D P M Inc Past Accepting new patients
Forest Anesthesia Medical Group Inc Anesthesiology Past Accepting new patients
Dignity Health Past Accepting new patients

Locations (25 of 32)

3351 El Camino Real
Ste 220
Atherton, CA 94027
Phone (650) 363-2800

3803 S Bascom Ave
Ste 100
Campbell, CA 95008
Phone (408) 559-7177

3803 S Bascom Ave
Ste 204
Campbell, CA 95008
Phone (408) 559-8658

3803 S Bascom Ave
Ste 106
Campbell, CA 95008
Phone (408) 249-3840

429 Llewellyn Ave
Campbell, CA 95008
Phone (408) 358-5000

2605 S Winchester Blvd
Campbell, CA 95008
Phone (401) 341-8600

1420 S Central Ave
Glendale, CA 91204
Phone (818) 502-1900

4756 El Camino Real
Los Altos, CA 94022
Phone (650) 445-4724

6245 De Longpre Ave
Los Angeles, CA 90028
Phone (310) 306-5502

15251 National Ave
Ste 207
Los Gatos, CA 95032
Phone (408) 356-0052

15780 Los Gatos Blvd
Los Gatos, CA 95032
Phone (408) 358-5000

555 Knowles Dr
Ste 115
Los Gatos, CA 95032
Phone (408) 374-4400

15195 National Ave
Ste 207
Los Gatos, CA 95032
Phone (408) 356-0431

14601 S Bascom Ave
Ste 100
Los Gatos, CA 95032
Phone (408) 358-6815

15195 National Ave
Ste 100
Los Gatos, CA 95032
Phone (408) 356-0454

15195 National Ave
Ste 204
Los Gatos, CA 95032
Phone (408) 356-0988

14830 Los Gatos Blvd
Ste 200
Los Gatos, CA 95032
Phone (408) 377-5556

15047 Los Gatos Blvd
Los Gatos, CA 95032
Phone (408) 356-2774

2601 E Chapman Ave
Orange, CA 92869
Phone (714) 633-0011

101 Addison Ave
Palo Alto, CA 94301
Phone (650) 433-8621

3370 Geary Blvd
San Francisco, CA 94118
Phone (415) 379-7500

2410 Samaritan Dr
Ste 100
San Jose, CA 95124
Phone (408) 369-9798

2410 Samaritan Dr
Ste 101
San Jose, CA 95124
Phone (408) 369-9798

280 Hospital Pkwy
San Jose, CA 95119
Phone (408) 972-3100

2110 Forest Ave
Fl 2
San Jose, CA 95128
Phone (408) 297-3432

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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 1

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": "1302739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1477843167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14004 CHANDLER BLVD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914015736",
            "telephone_number": "408-314-9221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 E 7TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90822",
            "telephone_number": "562-826-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANKER",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-14",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A123184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.