Individual provider Active NPI

Jeannie Shen, MD

  • Surgical Oncology Physician
  • Pasadena, CA
National Provider Identifier
1609969211
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
A70643 Issued in CA
Practice address
625 S Fair Oaks Ave
Pasadena, CA 91105-2613
Phone
(424) 314-0182
Fax
(424) 314-0185
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology Physician 2086X0206X A70643 CA Primary
Urology Physician 208800000X A70643 CA

Addresses

Primary practice location

625 S Fair Oaks Ave
Pasadena, CA 91105-2613

Mailing address

4140 W 190TH St
Torrance, CA 90504-5513

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
I20040913001374 CA Practitioner - Surgical OncologyPractitioner - General Surgery 3476443045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Surgical OncologyAlso: General Surgery
Education
University of California, San Diego School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

Practice addresses (Care Compare)

625 S Fair Oaks Ave
Suite 100
Pasadena, CA 91105-2640
Phone (424) 314-7695

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
84.79
Promoting interoperability
99
Improvement activities
40
Cost
73.15

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy70
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A70643CAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cedars-Sinai Medical Care Foundation CurrentSince Aug 1, 2022 Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients
The Regents of the University of California Past Accepting new patients
Methodist Health, Inc. Past Accepting new patients
Ut MD Anderson Cancer Center Past Accepting new patients
City of Hope Medical Foundation Surgical Oncology Past Accepting new patients
California Cancer Specialists Medical Group Inc Urology Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients

Locations

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

625 S Fair Oaks Ave
Ste 100
Pasadena, CA 91105
Phone (310) 423-1160

625 S Fair Oaks Ave
Ste 380
Pasadena, CA 91105
Phone (626) 229-8992

100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445

625 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 395-9588

625 S Fair Oaks Ave
Ste 155
Pasadena, CA 91105
Phone (424) 314-0182

625 S Fair Oaks Ave
Ste 300
Pasadena, CA 91105
Phone (626) 304-0070

4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780

Interoperability endpoints

  • Direct secure messaging: jshen430600@direct.cshs.org

Organizations & group practices 8

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 2

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1609969211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 W 190TH ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905045513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 S FAIR OAKS AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052613",
            "telephone_number": "424-314-0182",
            "fax_number": "424-314-0185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEN",
        "first_name": "JEANNIE",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "CA",
            "license": "A70643",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A70643",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.