Individual provider Active NPI

Ujjwala Shah Dheeriya, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Torrance, CA
National Provider Identifier
1770508582
Registry record updated Jun 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
A70781 Issued in CA
Practice address
2900 Lomita Blvd.
Torrance, CA 90505
Phone
(310) 784-8713
Fax
(310) 784-4991
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X A70781 CA Primary
Internal Medicine Physician 207R00000X A70781 CA
Internal Medicine Physician 207R00000X A71781 CA

Addresses

Primary practice location

2900 Lomita Blvd.
Torrance, CA 90505

Mailing address

2900 Lomita Blvd.
Torrance, CA 90505
Phone (310) 377-2707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050301000992 CA Practitioner - Hospice/Palliative CarePractitioner - Family PracticePractitioner - Internal MedicinePractitioner - Pediatric Medicine 7911950936 Reassigns benefits to 3 organizations
I20201124002133 GA Practitioner - Internal Medicine 7911950936

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative CareAlso: Internal Medicine
Education
University of Virginia School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Torrance Health Association IncGroup PAC ID 1355302134, 298 clinicians

Practice addresses (Care Compare)

3285 Skypark Dr
Torrance, CA 90505-5004
Phone (310) 750-3300

3640 Lomita Blvd
Suite 106
Torrance, CA 90505-3920
Phone (310) 784-8713

514 N Prospect Ave
FL 4
Redondo Beach, CA 90277-3040
Phone (310) 750-3300

Hospital & facility affiliations

  • Torrance Memorial Home Health Home health agency, Torrance, CA, CCN 057788
  • Torrance Memorial Hospice Hospice, Torrance, CA, CCN 051615
  • Torrance Memorial Medical Center Hospital, Torrance, CA, CCN 050351

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A70781CAMDSpecialist
A71781CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Careconnectmd Ca PC CurrentSince Feb 1, 2021 Accepting new patients
Torrance Health Association Inc CurrentSince Sep 1, 2012 Accepting new patients
GN Medical Associates, Inc. CurrentSince Apr 11, 2018 Accepting new patients
Healthcare Partners Affiliates Medical Group Internal Medicine Past Accepting new patients
Memorial Medical Group Inc Past Accepting new patients
Mission Hospital Regional Medical Center Past Accepting new patients

Locations

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

16162 Beach Blvd
Ste 100
Huntington Beach, CA 92647
Phone (714) 619-8766

855 Manhattan Beach Blvd
Ste 201
Manhattan Beach, CA 90266
Phone (310) 939-7847

514 N Prospect Ave
Fl 4
Redondo Beach, CA 90277
Phone (310) 750-3300

1750 Montgomery St
Fl 1
San Francisco, CA 94111
Phone (714) 619-8777

3401 W Sunflower Ave
#250
Santa Ana, CA 92704
Phone (415) 848-8258

473 E Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

473 S Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

3330 Lomita Blvd
Fl 5
Torrance, CA 90505
Phone (310) 517-4735

2900 Lomita Blvd
Torrance, CA 90505
Phone (310) 257-7260

3330 Lomita Blvd
Torrance, CA 90505
Phone (310) 517-4675

3640 Lomita Blvd
Ste 106
Torrance, CA 90505
Phone (310) 375-8088

23326 Hawthorne Blvd
Ste 200
Torrance, CA 90505
Phone (310) 257-7205

3333 Skypark Dr
Ste 100
Torrance, CA 90505
Phone (310) 784-6300

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Torrance Memorial HospiceTorrance, CA, CCN 051615 Hospice Contracted Managing Employee Jan 1, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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 3

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402531200000",
    "number": "1770508582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 LOMITA BLVD.",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90505",
            "telephone_number": "310-377-2707",
            "fax_number": "310-377-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 LOMITA BLVD.",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90505",
            "telephone_number": "310-784-8713",
            "fax_number": "310-784-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHEERIYA",
        "first_name": "UJJWALA",
        "middle_name": "SHAH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2014-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "A70781",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A70781",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A71781",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.