Individual provider Active NPI

Yang Shen, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Pasadena, CA
National Provider Identifier
1609189075
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
A126055 Issued in CA
Practice address
55 E California Blvd Ste 204
Pasadena, CA 91105-3954
Phone
(626) 397-8323
Fax
(626) 792-3611
NPI assigned
Jul 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 01075630A IN
Endocrinology, Diabetes & Metabolism Physician 207RE0101X A126055 CA Primary
Internal Medicine Physician 207R00000X 01075630A IN

Addresses

Primary practice location

55 E California Blvd Ste 204
Pasadena, CA 91105-3954

Mailing address

55 E California Blvd Ste 204
Pasadena, CA 91105-3954
Phone (626) 397-8323

Other identifiers 2

IdentifierTypeStateIssuer
000000954743OtherINANTHEM PROVIDER NUMBER
201312670MedicaidIN

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
I20160725000925 CA Practitioner - EndocrinologyPractitioner - Internal Medicine 0042524969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

10 Congress St
Suite 208
Pasadena, CA 91105-3027
Phone (626) 792-2166

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.07 of 100Reported as group
Quality
87.72
Promoting interoperability
96
Improvement activities
40
Cost
74.86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A126055CAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Huntington Medical Foundation Internal Medicine CurrentSince Sep 1, 2016 Accepting new patients
Indiana University Health Inc Past Accepting new patients
Huntington Medical Foundation Internal Medicine Past Accepting new patients
Iu Health Arnett Hospital, Inc Past Accepting new patients

Locations

55 E California Blvd
Ste 204
Pasadena, CA 91105
Phone (626) 397-8323

10 Congress St
Ste 408
Pasadena, CA 91105
Phone (626) 345-6880

65 N Madison Ave
Ste 800
Pasadena, CA 91101
Phone (626) 792-3141

10 Congress St
Ste 208
Pasadena, CA 91105
Phone (626) 792-2166

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: yshen419091@direct.cshs.org

Organizations & group practices 4

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": "1279065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1609189075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 E CALIFORNIA BLVD STE 204",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053954",
            "telephone_number": "626-397-8323",
            "fax_number": "626-792-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 E CALIFORNIA BLVD STE 204",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053954",
            "telephone_number": "626-397-8323",
            "fax_number": "626-792-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEN",
        "first_name": "YANG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-14",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IN",
            "license": "01075630A",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A126055",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01075630A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "000000954743",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201312670",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.