Active NPI
Jennifer Shih, M. D.
- Pediatrics Physician
- Rosemead, CA
National Provider Identifier
1750447264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A43447
- Practice address
- 4124 Rosemead Blvd Ste a
Rosemead, CA 91770-4400 - Phone
- (626) 285-2477
- NPI assigned
- Dec 29, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A43447 | CA | Primary |
Addresses
Primary practice location
4124 Rosemead Blvd Ste a
Rosemead, CA 91770-4400
Mailing address
4124 N.Rosemead Blvd. #a
Rosemead, CA 91770
Phone (626) 285-2477
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A434471 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A43447 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahmc San Gabriel Valley Medical | Past | Accepting new patients | |
| Ahmc Garfield Medical Center LP | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Monterey Park, CA
- NPI 1730171265
-
- Skilled Nursing Facility
- San Gabriel, CA
- NPI 1710174818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732492800000",
"number": "1750447264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4124 N.ROSEMEAD BLVD. #A",
"city": "ROSEMEAD",
"state": "CA",
"postal_code": "91770",
"telephone_number": "626-285-2477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4124 ROSEMEAD BLVD STE A",
"city": "ROSEMEAD",
"state": "CA",
"postal_code": "917704400",
"telephone_number": "626-285-2477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIH",
"first_name": "JENNIFER",
"credential": "M. D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-29",
"last_updated": "2024-11-25",
"certification_date": "2024-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A43447",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A434471",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rosemead, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.