NPIMap

Organization Active NPI

Jeannie Shen,MD Inc

  • Surgical Oncology Physician
  • Pasadena, CA
National Provider Identifier
1598946576
Registry record updated Jan 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
A70643 Issued in CA
Legal business name
JEANNIE SHEN,MD INC
Practice address
625 Fair Oaks Ave
Suite 300
Pasadena, CA 91105-2640
Phone
(626) 356-3167
Fax
(626) 356-9190
NPI assigned
Nov 19, 2007
Last updated
Jan 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2013

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

Authorized official

Name
Ms. Jeannie Shen, M.D.
Title
President
Phone
(626) 356-3167

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086X0206X A70643 CA Primary

Addresses

Primary practice location

625 Fair Oaks Ave
Suite 300
Pasadena, CA 91105-2640

Mailing address

625 S Fair Oaks Ave
Suite 300
Pasadena, CA 91105-2640
Phone (626) 356-3167

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358899200000",
    "number": "1598946576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 S FAIR OAKS AVE",
            "address_2": "SUITE 300",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052640",
            "telephone_number": "626-356-3167",
            "fax_number": "626-356-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 FAIR OAKS AVE",
            "address_2": "SUITE 300",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052640",
            "telephone_number": "626-356-3167",
            "fax_number": "626-356-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANNIE SHEN,MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2013-01-23",
        "status": "A",
        "authorized_official_last_name": "SHEN",
        "authorized_official_first_name": "JEANNIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-356-3167",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": "CA",
            "license": "A70643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.