Shinobu Luisa Kaneko M.D. Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A80720 Issued in CA

Legal business name

SHINOBU LUISA KANEKO M.D. INC

Practice address

823 S Atlantic Blvd Ste 4
Monterey Park, CA 91754-4721

Phone

(626) 458-1201

Fax

(626) 458-3736

NPI assigned

Mar 17, 2008

Last updated

Oct 17, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shinobu Luisa Kaneko, M.DNPI 1750388633

Title

Owner

Phone

(323) 728-1201

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shinobu Luisa Kaneko, M.D.

  • Family Medicine Physician
  • Monterey Park, CA
  • NPI 1750388633
  Medicare reassignment NPD Authorized official
• Leslie Ann Klein, DO

  • Family Medicine Physician
  • Montebello, CA
  • NPI 1215151006
  NPD (past)

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665964800000",
    "number": "1609047893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 129",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917540129",
            "telephone_number": "626-458-1201",
            "fax_number": "626-458-3736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 S ATLANTIC BLVD STE 4",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917544721",
            "telephone_number": "626-458-1201",
            "fax_number": "626-458-3736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINOBU LUISA KANEKO M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A",
        "authorized_official_last_name": "KANEKO",
        "authorized_official_first_name": "SHINOBU",
        "authorized_official_middle_name": "LUISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-728-1201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A80720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A807200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chin Shun Shih, M.D.
• Ching Hsin Shih, M.D.
• Glenna Wei Shih, O.D.
• Yu Shih, L.AC
• Aldric Jaeseung Shim, MD
• Cindy Xinchun Shu, MD
• Sirivanh Kongbouakhay Shuffer, L.C.S.W.
• Heather Siu Shum
• Rebecca Ermenia Silva, PA-C
• Kenneth T Sim, MD

• Family Medicine Physician in Monterey Park, CA
• Providers in Monterey Park, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.