Individual provider Active NPI

Shelby Lundahl, M.D.

  • Diagnostic Radiology Physician
  • Torrance, CA
National Provider Identifier
1669874467
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A140432 Issued in CA
Practice address
4101 Torrance Blvd
Torrance, CA 90503-4607
Phone
(310) 303-5750
NPI assigned
Sep 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X A140432 CA Primary

Addresses

Primary practice location

4101 Torrance Blvd
Torrance, CA 90503-4607

Mailing address

4101 Torrance Blvd
Radiology Dept
Torrance, CA 90503-2004
Phone (310) 303-5750

Other practice location 1

1000 W Carson St
Harbor-UCLA Medical Center, Box 461
Torrance, CA 90502-2004
Phone (310) 222-2700

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
I20200701002509 CA Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 7719220656 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Ohio State University College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Imaging and Intervention IncGroup PAC ID 4486178332, 9 clinicians
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians
Golden State Imaging Associates IncGroup PAC ID 1254761315, 242 clinicians
Ocean Skin and Vein InstituteGroup PAC ID 9335482835, 16 clinicians

Practice addresses (Care Compare)

Long Beach, CA 90815
Phone (323) 829-9736

1409 E Briggsmore Ave
Modesto, CA 95355-2707
Phone (209) 524-1211

17100 Euclid St
Suite 4004
Fountain Valley, CA 92708-4004
Phone (818) 639-2901

2488 N California St
Stockton, CA 95204-5508
Phone (209) 948-3333

2505 W Hammer LN
Stockton, CA 95209-2839
Phone (209) 957-7050

2545 W Hammer LN
Stockton, CA 95209-2839
Phone (209) 957-7050

2800 L St
Sacramento, CA 95816-5616

3661 Torrance Blvd
Suite 104
Torrance, CA 90503-4898
Phone (310) 370-5670

441 W Eaton Ave
Tracy, CA 95376-3420
Phone (209) 830-4062

445 W Eaton Ave
Tracy, CA 95376-3420
Phone (209) 524-1211

447 W Eaton Ave
Tracy, CA 95376-3420
Phone (209) 830-4062

473 W Eaton Ave
Tracy, CA 95376-3420
Phone (209) 833-3320

599 E Valpico Rd
Tracy, CA 95376-9100
Phone (209) 830-4072

600 Coffee Rd
Modesto, CA 95355-4201
Phone (209) 524-1211

815 Court St
Jackson, CA 95642-2154

918 S Fairmont Ave
Lodi, CA 95240-5119
Phone (209) 366-2001

924 S Fairmont Ave
Lodi, CA 95240-5119
Phone (209) 334-2590

Hospital & facility affiliations

  • West Anaheim Medical Center Hospital, Anaheim, CA, CCN 050426
  • Ahmc Anaheim Regional Medical Center Hospital, Anaheim, CA, CCN 050226
  • Uci Health-Orange Hospital, Orange, CA, CCN 050348
  • Uci Health-Lakewood Hospital, Lakewood, CA, CCN 050581
  • Palmdale Regional Medical Center Hospital, Palmdale, CA, CCN 050204

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A140432CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Golden State Imaging Associates Inc Diagnostic Radiology CurrentSince May 28, 2022 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Oct 6, 2025 Accepting new patients
Advanced Imaging of South Bay, Inc. Diagnostic Radiology CurrentSince Jul 1, 2020 Accepting new patients
UC Regents Diagnostic Radiology CurrentSince Jan 1, 2024 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Oct 6, 2025 Accepting new patients
Coastal Imaging and Intervention Inc Diagnostic Radiology CurrentSince Apr 4, 2025 Accepting new patients
Sutter Valley Medical Foundation Diagnostic Radiology Current Accepting new patients
UC Regents Diagnostic Radiology CurrentSince Jan 1, 2024 Accepting new patients
Sutter North Medical Foundation Past Accepting new patients

Locations

3033 W Orange Ave
Anaheim, CA 92804
Phone (714) 229-5649

1111 W La Palma Ave
Anaheim, CA 92801
Phone (714) 774-1450

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

17100 Euclid St
Ste 4004
Fountain Vly, CA 92708
Phone (714) 966-7200

12601 Garden Grove Blvd
Garden Grove, CA 92843
Phone (714) 537-5160

17772 Beach Blvd
Huntington Beach, CA 92647
Phone (714) 842-1473

47111 Monroe St
Indio, CA 92201
Phone (760) 347-6191

47111 Monroe St
#1112
Indio, CA 92201

815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900

7901 Walker St
La Palma, CA 90623
Phone (562) 424-2900

3700 South St
Lakewood, CA 90712
Phone (562) 424-2900

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

Dept LA 21552
Pasadena, CA 91185

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

1300 W 7th St
San Pedro, CA 90732
Phone (310) 514-5350

4101 Torrance Blvd
Torrance, CA 90503
Phone (310) 540-7676

250 W Main St
Woodland, CA 95695
Phone (916) 668-6100

Interoperability endpoints

  • Direct secure messaging: slundahl753191@hisp.ehr.sutterhealth.org

Organizations & group practices 10

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 6

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": "1411430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1669874467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 TORRANCE BLVD",
            "address_2": "RADIOLOGY DEPT",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905032004",
            "telephone_number": "310-303-5750",
            "fax_number": "310-533-1841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 TORRANCE BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034607",
            "telephone_number": "310-303-5750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 W Carson St",
            "address_2": "Harbor-UCLA Medical Center, Box 461",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905022004",
            "country_code": "US",
            "telephone_number": "310-222-2700",
            "fax_number": "310-533-1841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUNDAHL",
        "first_name": "SHELBY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-23",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A140432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.