Shinobu Luisa Kaneko, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A80720 Issued in CA

Practice address

823 S Atlantic Blvd Ste 4
Monterey Park, CA 91754-4721

Phone

(626) 458-1201

Fax

(626) 458-3736

NPI assigned

Jul 7, 2005

Last updated

Oct 18, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

Other, 1999

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• D & B Health Care Professionals Burbank, Inc. Home health agency, Artesia, CA, CCN 059212
• Pih Health Hospital-Whittier Hospital, Whittier, CA, CCN 050169

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Shinobu Luisa Kaneko M.D. Inc

  • Family Medicine Physician
  • Monterey Park, CA
  • NPI 1609047893
  Medicare reassignment NPD Authorized official
• Pih Health Whittier Hospital

  • General Acute Care Hospital
  • Whittier, CA
  • NPI 1043215379
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• D & B Health Care Professionals Burbank, Inc.

  • Home Health Agency
  • Artesia, CA
  • NPI 1578648507
  Care Compare affiliation
• Pih Health Whittier Hospital

  • General Acute Care Hospital
  • Whittier, CA
  • NPI 1043215379
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1750388633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 129",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917540129",
            "telephone_number": "626-458-1201",
            "fax_number": "626-458-3736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 S ATLANTIC BLVD STE 4",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917544721",
            "telephone_number": "626-458-1201",
            "fax_number": "626-458-3736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANEKO",
        "first_name": "SHINOBU",
        "middle_name": "LUISA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A80720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Manleung Kam
• Aurora-Arlene Roque Kamen, M.D.
• Kaneko & Furuichi Dental Corp
• Kaneko Health
• Leslie Kaneko, DDS
• Kang & Liu Dentistry Apo (Garfield Dental Group)
• Sarah Kang
• Ling Kao
• Amir Karic, D.D.S.
• Katie R Pang MD Inc

• Family Medicine Physician in Monterey Park, CA
• Providers in Monterey Park, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.

Verify at the official NPI Registry.