NPIMap

Individual provider Active NPI

Rong Shi, M.D.

  • Internal Medicine Physician
  • San Diego, CA
National Provider Identifier
1669630521
Registry record updated May 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A109065 Issued in CA
Practice address
3260 3Rd Ave
San Diego, CA 92103-5616
Phone
(619) 297-3737
Fax
(619) 297-0443
NPI assigned
May 28, 2008
Last updated
May 11, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A109065 CA Primary

Addresses

Primary practice location

3260 3Rd Ave
San Diego, CA 92103-5616

Mailing address

3260 3Rd Ave
San Diego, CA 92103-5616
Phone (619) 297-3737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100728000097 CA Practitioner - Internal Medicine 1951434950 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3260 3Rd Ave
San Diego, CA 92103-5616
Phone (619) 297-3737

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A109065CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Internal Medicine Current Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Sep 5, 2010 Accepting new patients
Scripps Health Current Accepting new patients
Internal Medi Cine Associates Medical Group of San Diego, Inc Internal Medicine CurrentSince Sep 15, 2015 Accepting new patients
Scripps Health CurrentSince Jun 1, 2010 Accepting new patients
Scripps Health Current Accepting new patients
Scripps Health Past Accepting new patients

Locations

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

File 54433
Los Angeles, CA 90074
Phone (858) 784-5645

10170 Sorrento Valley Rd
#5
San Diego, CA 92121
Phone (858) 754-5767

3260 3rd Ave
San Diego, CA 92103
Phone (619) 297-3737

4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: rshi31702@scrippshlth.medalliesdirect.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462924800000",
    "number": "1669630521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3260 3RD AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035616",
            "telephone_number": "619-297-3737",
            "fax_number": "619-297-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3260 3RD AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035616",
            "telephone_number": "619-297-3737",
            "fax_number": "619-297-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHI",
        "first_name": "RONG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-28",
        "last_updated": "2016-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A109065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.