Active NPI
Shilpa J. Mehta, MD
- Endocrinology, Diabetes & Metabolism Physician
- Fullerton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- A137894
- Practice address
- 100 E Valencia Mesa Dr Ste 105
Fullerton, CA 92835 - Phone
- (714) 449-4950
- NPI assigned
- Jun 26, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | A137894 | CA | Primary |
Addresses
Primary practice location
100 E Valencia Mesa Dr Ste 105
Fullerton, CA 92835
Mailing address
100 E Valencia Mesa Dr Ste 105
Fullerton, CA 92835-3816
Other practice location 1
3125 Eden Ave
First Floor
Cincinnati, OH 45219-2293
Phone (513) 558-5805
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
23141 Moulton Pkwy
Suite 102
Laguna Hills, CA 92653-1241
Phone (949) 916-9100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A137894 | CA | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scke, Inc | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
| St Jude Hospital Inc | Past | Accepting new patients | |
| United Medical Doctors | Past | Accepting new patients | |
| Mission Hospital Regional Medical Center | Past | Accepting new patients | |
| Saddleback Memorial Medical Center | Past | Accepting new patients |
Locations
22 Odyssey
Ste 115
Irvine, CA 92618
Phone (949) 988-7550
23141 Moulton Pkwy
Ste 102
Laguna Hills, CA 92653
Phone (949) 916-9100
23331 El Toro Rd
Ste 102
Lake Forest, CA 92630
Phone (949) 633-8189
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 5
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.
-
dba SCKE Health
- Endocrinology, Diabetes & Metabolism Physician
- Laguna Hills, CA
- NPI 1831144104
-
dba Providence Mission Hospital
- Rehabilitation Hospital
- Mission Viejo, CA
- NPI 1003956913
-
- Rehabilitation Hospital Unit
- Laguna Hills, CA
- NPI 1114967114
-
dba Providence St. Jude Medical Center
- General Acute Care Hospital
- Fullerton, CA
- NPI 1194926279
-
- Gastroenterology Physician
- Murrieta, CA
- NPI 1770559981
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536796800000",
"number": "1548422991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E VALENCIA MESA DR STE 105",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928353816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E VALENCIA MESA DR STE 105",
"city": "FULLERTON",
"state": "CA",
"postal_code": "92835",
"telephone_number": "714-449-4950"
}
],
"practiceLocations": [
{
"address_1": "3125 Eden Ave",
"address_2": "First Floor",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452192293",
"country_code": "US",
"telephone_number": "513-558-5805",
"fax_number": "513-558-8581",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEHTA",
"first_name": "SHILPA",
"middle_name": "J.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-26",
"last_updated": "2018-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "CA",
"license": "A137894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.