Individual provider Active NPI

Shelley C Gath, DPM

  • Podiatrist
  • Arcadia, CA
National Provider Identifier
1740226703
Registry record updated Aug 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E4259 Issued in CA
Practice address
550 W Duarte Rd Ste 5
Arcadia, CA 91007-7365
Phone
(626) 538-4505
Fax
(877) 320-3170
NPI assigned
Jun 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X E4259 CA
Podiatrist 213E00000X E4259 CA Primary

Addresses

Primary practice location

550 W Duarte Rd Ste 5
Arcadia, CA 91007-7365

Mailing address

PO Box 661345
Arcadia, CA 91066-1345
Phone (626) 538-4505

Other identifiers 1

IdentifierTypeStateIssuer
000E42590MedicaidCA

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060228000555 CA Practitioner - Podiatry 3072529049 Reassigns benefits to 1 organization
Practice locations: Arcadia, CA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

550 W Duarte Rd
Suite 5
Arcadia, CA 91007-7365
Phone (626) 538-4505

Hospital & facility affiliations

  • Usc Arcadia Hospital Hospital, Arcadia, CA, CCN 050238

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue93
Removal of skin lesions1-10
Removal of nail tissue217
Removal or shaving of skin growth85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E4259CAMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vantage Foot and Ankle Center Foot Surgery CurrentSince Mar 5, 2019 Accepting new patients
Ahmc Monterey Park Hospital LP Past Accepting new patients
Usc Arcadia Hospital Past Accepting new patients
Altamed Health Services Corp PastSince May 1, 2022 Accepting new patients

Locations

550 W Duarte Rd
Ste 5
Arcadia, CA 91007
Phone (626) 445-3862

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: shelley.gath.1@20017.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/20017/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1740226703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 661345",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910661345",
            "telephone_number": "626-538-4505",
            "fax_number": "877-320-3170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 W DUARTE RD STE 5",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077365",
            "telephone_number": "626-538-4505",
            "fax_number": "877-320-3170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATH",
        "first_name": "SHELLEY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CA",
            "license": "E4259",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E4259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E42590",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.