Individual provider Active NPI

Shiun T Ker, M.D.

  • Surgery Physician
  • Monterey Park, CA
National Provider Identifier
1669554887
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A43001 Issued in CA
Practice address
600 N Garfield Ave
Room 306
Monterey Park, CA 91754-1166
Phone
(626) 571-8271
Fax
(626) 571-8106
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A43001 CA Primary
Colon & Rectal Surgery Physician 208C00000X A43001 CA

Addresses

Primary practice location

600 N Garfield Ave
Room 306
Monterey Park, CA 91754-1166

Mailing address

600 N Garfield Ave
Room 306
Monterey Park, CA 91754-1166
Phone (626) 571-8271

Other identifiers 1

IdentifierTypeStateIssuer
6244319MedicaidCA

Other names 1

  • Tim S Ker Other name

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
I20101217000496 CA Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 3971791914 Practice locations: Monterey Park, CA

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

600 N Garfield Ave
Suite 306
Monterey Park, CA 91754-1172
Phone (626) 571-8271

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy354
Upper gastrointestinal (GI) endoscopy for acid reflux78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A43001CAMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ahmc Monterey Park Hospital LP Past Accepting new patients
Ahmc Garfield Medical Center LP Past Accepting new patients
Ahmc Greater El Monte Comm Hosp LLC Past Accepting new patients
Alhambra Hospital Medical Center, LP Past Accepting new patients
Ahmc San Gabriel Valley Medical Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1669554887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N GARFIELD AVE",
            "address_2": "ROOM 306",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541166",
            "telephone_number": "626-571-8271",
            "fax_number": "626-571-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N GARFIELD AVE",
            "address_2": "ROOM 306",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541166",
            "telephone_number": "626-571-8271",
            "fax_number": "626-571-8106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KER",
        "first_name": "SHIUN",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A43001",
            "primary": true
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "CA",
            "license": "A43001",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6244319",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIM",
            "last_name": "KER",
            "middle_name": "S",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Monterey Park, CA

Sources for this page

Verify at the official NPI Registry.