Gary G Shi MD Inc

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

A92230 Issued in CA

Legal business name

GARY G SHI MD INC

Doing business as

Northern California Cancer Specialists

Practice address

617 New York Ranch Rd
Jackson, CA 95642-9328

Phone

(209) 257-0292

Fax

(209) 257-0676

NPI assigned

Oct 5, 2006

Last updated

Jan 23, 2012By 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. Gary G Shi, MD, PHDNPI 1235101437

Title

Owner

Phone

(209) 257-0292

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Northern California Cancer Specialists Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

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.

• Gary G Shi, MD, PHD

  • Hematology & Oncology Physician
  • Jackson, CA
  • NPI 1235101437
  Medicare reassignment NPD Authorized official
• Jason Lynn Nelles, M.D.

  • Urology Physician
  • Cameron Park, CA
  • NPI 1164612024
  NPD (past)
• Necati Uygur Tekin, M.D.

  • Cardiovascular Disease Physician
  • Placerville, CA
  • NPI 1871566406
  NPD (past)
• John Montorello, MD

  • Urology Physician
  • Austin, TX
  • NPI 1730202714
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327276800000",
    "number": "1619063435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 NEW YORK RANCH RD",
            "city": "JACKSON",
            "state": "CA",
            "postal_code": "956429328",
            "telephone_number": "209-257-0292",
            "fax_number": "209-257-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 NEW YORK RANCH RD",
            "city": "JACKSON",
            "state": "CA",
            "postal_code": "956429328",
            "telephone_number": "209-257-0292",
            "fax_number": "209-257-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY G SHI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2012-01-23",
        "status": "A",
        "authorized_official_last_name": "SHI",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-257-0292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A92230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A922300",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern California Cancer Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven C. Gabaeff, MD
• Heidi Galvez
• Fernando Garcia
• Haley Michelle Gardner
• Christina Monique Garvin, DPM
• Kathleen Gast, MFTI
• Robbi Geyser
• Duane Phillip Gibson, O.D.
• Harpreet K Gill, DDS
• Mark Godbout, RPH

• Hematology & Oncology Physician in Jackson, CA
• Providers in Jackson, CA by specialty
• Hematology & Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; 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.