Active NPI
Elaine Carole Shoji, M.D.
- Pediatrics Physician
- Rolling Hills Estates, CA
National Provider Identifier
1538265160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G35402
- Practice address
- 827 Deep Valley Dr
Suite 102
Rolling Hills Estates, CA 90274-3647 - Phone
- (310) 541-8801
- Fax
- (310) 541-8703
- NPI assigned
- Sep 14, 2006
- Last updated
- Jan 24, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G35402 | CA | Primary |
Addresses
Primary practice location
827 Deep Valley Dr
Suite 102
Rolling Hills Estates, CA 90274-3647
Mailing address
827 Deep Valley Dr
Suite 102
Rolling Hills Estates, CA 90274-3647
Phone (310) 541-8801
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33-0277966 | Other | CA | FEDERAL TAX I.D. |
| G35402 | Other | CA | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G35402 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Medical Group Inc | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- eshoji257282@oc.providencedirect.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Durable Medical Equipment & Medical Supplies
- Phoenix, AZ
- NPI 1255523643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327363200000",
"number": "1538265160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "827 DEEP VALLEY DR",
"address_2": "SUITE 102",
"city": "ROLLING HILLS ESTATES",
"state": "CA",
"postal_code": "902743647",
"telephone_number": "310-541-8801",
"fax_number": "310-541-8703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "827 DEEP VALLEY DR",
"address_2": "SUITE 102",
"city": "ROLLING HILLS ESTATES",
"state": "CA",
"postal_code": "902743647",
"telephone_number": "310-541-8801",
"fax_number": "310-541-8703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOJI",
"first_name": "ELAINE",
"middle_name": "CAROLE",
"name_prefix": "Ms.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-14",
"last_updated": "2012-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G35402",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL TAX I.D.",
"identifier": "33-0277966",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "G35402",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rolling Hills Estates, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.