Active NPI
Biren Shah, M.D.
- Family Medicine Physician
- Brea, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A99596
- Practice address
- 955 W Imperial Hwy Ste 200
Brea, CA 92821-3812 - Phone
- (714) 449-6900
- NPI assigned
- Sep 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A99596 | CA | Primary |
Addresses
Primary practice location
955 W Imperial Hwy Ste 200
Brea, CA 92821-3812
Mailing address
200 W Center Street Promenade Ste 300
Anaheim, CA 92805-3960
Phone (714) 449-4841
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bshah1374315@oc.providencedirect.org |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 E Valencia Mesa Dr
Suite 105
Fullerton, CA 92835-3816
Phone (714) 871-3006
1514 Valley Vista Dr
Diamond Bar, CA 91765-3929
Phone (909) 860-1144
1950 Sunny Crest Dr
Suite 2900
Fullerton, CA 92835-3641
Phone (714) 992-5350
200 W Ctr St Promenade
Anaheim, CA 92805-3960
955 W Imperial Hwy
Brea, CA 92821-3812
955 W Imperial Hwy
Suite 110
Brea, CA 92821-3814
Phone (714) 449-6900
Hospital & facility affiliations
- Elegance Healthcare, Inc
- Providence at Home With Compassus Home Health Orange County
- Del Rosa Home Health, Inc.
- Providence St. Jude Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 20 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A99596 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Family Medicine | Current | Accepting new patients |
| Providence Medical Foundation | Family Medicine | Current | Accepting new patients |
| Providence Medical Foundation | Current | Accepting new patients | |
| St Jude Hospital Inc | Past | Accepting new patients | |
| Rural Health Resources of Jackson Co Inc | Family Medicine | Past | Accepting new patients |
| Rural Health Resources of Jackson Co Inc | Past | Accepting new patients |
Locations
200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841
955 W Imperial Hwy
Ste 200
Brea, CA 92821
Phone (714) 449-6900
1514 Valley Vista Dr
Diamond Bar, CA 91765
Phone (909) 560-1144
1950 Sunny Crest Dr
Ste 2900
Fullerton, CA 92835
100 E Valencia Mesa Dr
Ste 105
Fullerton, CA 92835
Phone (714) 446-5200
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- bshah1374315@oc.providencedirect.org
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Brea, CA
- NPI 1871607762
-
- General Practice Physician
- Diamond Bar, CA
- NPI 1285890624
-
- Family Medicine Physician
- Anaheim, CA
- NPI 1639715709
-
- Hematology & Oncology Physician
- Orange, CA
- NPI 1801443510
-
dba Providence St. Jude Medical Center
- General Acute Care Hospital
- Fullerton, CA
- NPI 1194926279
-
dba Holton Community Hospital
- In Home Supportive Care Agency
- Holton, KS
- NPI 1427177252
-
dba Family Practice Associates
- Rural Health Clinic/Center
- Holton, KS
- NPI 1639145204
Family Medicine
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Providence at Home with Compassus Home Health, Orange County
- Home Health Agency
- Anaheim, CA
- NPI 1588486716
-
- Home Health Agency
- Corona, CA
- NPI 1740719681
-
- Home Health Agency
- Encino, CA
- NPI 1396117982
-
dba Providence St. Jude Medical Center
- General Acute Care Hospital
- Fullerton, CA
- NPI 1194926279
-
dba Providence St. Jude Medical Center
- General Acute Care Hospital
- Brea, CA
- NPI 1891904942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636502400000",
"number": "1710086533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W CENTER STREET PROMENADE STE 300",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928053960",
"telephone_number": "714-449-4841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "955 W IMPERIAL HWY STE 200",
"city": "BREA",
"state": "CA",
"postal_code": "928213812",
"telephone_number": "714-449-6900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "BIREN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2021-11-10",
"certification_date": "2021-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A99596",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bshah1374315@oc.providencedirect.org",
"affiliation": "N",
"address_1": "955 W Imperial Hwy Ste 200",
"city": "Brea",
"state": "CA",
"country_code": "US",
"postal_code": "928213812",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Brea, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.