Individual provider Active NPI

Imad A Shbeeb, MD

  • Colon & Rectal Surgery Physician
  • Los Alamitos, CA
National Provider Identifier
1720063464
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
A38275 Issued in CA
Practice address
10931 Cherry St
Suite 200
Los Alamitos, CA 90720-2445
Phone
(562) 596-7700
Fax
(562) 596-7600
NPI assigned
Dec 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X A38275 CA Primary

Addresses

Primary practice location

10931 Cherry St
Suite 200
Los Alamitos, CA 90720-2445

Mailing address

10931 Cherry St
Suite 200
Los Alamitos, CA 90720-2445
Phone (562) 596-7700

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
I20100309000741 CA Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 6901941335 Reassigns benefits to 1 organization

Care Compare profile

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

Practice addresses (Care Compare)

10931 Cherry St
Los Alamitos, CA 90720-2496
Phone (562) 596-7700

10931 Cherry St
Suite 200
Los Alamitos, CA 90720-2445

2801 Atlantic Ave
Long Beach, CA 90806-1701
Phone (562) 933-2000

Hospital & facility affiliations

  • Memorialcare Long Beach Medical Center Hospital, Long Beach, CA, CCN 050485

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy182

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A38275CAMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Los Alamitos Colorectal Surgical Associates Colon & Rectal Surgery CurrentSince Oct 5, 2002 Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients

Locations

10931 Cherry St
Ste 200
Los Alamitos, CA 90720
Phone (562) 497-9229

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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 1

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": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1720063464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10931 CHERRY ST",
            "address_2": "SUITE 200",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202445",
            "telephone_number": "562-596-7700",
            "fax_number": "562-596-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10931 CHERRY ST",
            "address_2": "SUITE 200",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202445",
            "telephone_number": "562-596-7700",
            "fax_number": "562-596-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHBEEB",
        "first_name": "IMAD",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "CA",
            "license": "A38275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

Verify at the official NPI Registry.