Active NPI
Victor Shi, M.D.
- Vascular & Interventional Radiology Physician
- Montebello, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- A126057
- Practice address
- 1417 W Beverly Blvd Ste 106
Montebello, CA 90640-4125 - Phone
- (626) 657-8002
- NPI assigned
- Feb 28, 2012
- Last updated
- Nov 15, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD442652 | PA | |
| Vascular & Interventional Radiology Physician | 2085R0204X | A126057 | CA | Primary |
Addresses
Primary practice location
1417 W Beverly Blvd Ste 106
Montebello, CA 90640-4125
Mailing address
1417 W Beverly Blvd Ste 106
Montebello, CA 90640-4125
Phone (626) 657-8002
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Radiology
- Education
- Drexel University College of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1115 S Sunset Ave
West Covina, CA 91790-3940
Phone (877) 406-2916
12611 9TH St
Suite F
Chino, CA 91710-3528
Phone (626) 616-8863
1300 N Vermont Ave
Los Angeles, CA 90027-6005
Phone (877) 406-2916
1401 S Grand Ave
Los Angeles, CA 90015-3010
Phone (877) 406-2916
1417 W Beverly Blvd
Suite 106
Montebello, CA 90640-4123
1417 W Beverly Blvd
Suite 106
Montebello, CA 90640-4125
Phone (626) 657-8002
14850 Roscoe Blvd
Panorama City, CA 91402-4618
Phone (877) 406-2916
18321 Clark St
Tarzana, CA 91356-3501
Phone (877) 406-2916
2000 Stadium Way
Los Angeles, CA 90026-2606
Phone (877) 406-2916
210 W San Bernardino Rd
Covina, CA 91723-1515
Phone (877) 406-2916
250 S Grand Ave
Glendora, CA 91741-4218
Phone (877) 406-2916
2975 Sycamore Dr
Simi Valley, CA 93065-1201
Phone (805) 955-6000
5000 San Bernardino St
Montclair, CA 91763-2326
Phone (626) 325-8455
Hospital & facility affiliations
- Emanate Health Inter-Community Hospital
- Providence Cedars Sinai Tarzana Medical Center
- Mission Community Hospital
- Hollywood Presbyterian Medical Center
- Emanate Health Foothill Presbyterian Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 76.46
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.21 of 100
- Quality
- 92.22
- Improvement activities
- 40
- Cost
- 74.96
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
| Varicose vein removal | 183 |
| Leg revascularization (restoring blood flow) | 138 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD442652 | PA | MD | Diagnostic Radiology Physician |
| A126057 | CA | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Menalam Health Services PC | Diagnostic Radiology | Current | Accepting new patients |
| Menalam Health Services PC | Current | Accepting new patients | |
| Arterial Interventional Centers, Inc. | Vascular & Interventional Radiology | Current | Accepting new patients |
| Mountain Communities Healthcare District | Current | Accepting new patients | |
| United Medical Doctors | Current | Accepting new patients | |
| Superclinic Professionals Medical Corp a California Corporation | Current | Accepting new patients | |
| Mountain Communities Healthcare District | Current | Accepting new patients | |
| Art Vascular & Interventional Associates Inc | Vascular & Interventional Radiology | Current | Accepting new patients |
| Comprehensive Cardiovascular Specialists, a Medical Corporation | Current | Accepting new patients | |
| Focus Medical Imaging | Diagnostic Radiology | Current | Accepting new patients |
| Beaumont Radiology Services LLC | Current | Accepting new patients | |
| Multispecialty & Vascular Partners Inc | Diagnostic Radiology | Current | Accepting new patients |
| Mountain Communities Healthcare District | Current | Accepting new patients | |
| United Medical Doctors | Current | Accepting new patients | |
| Ramtin Massoudi MD Inc | Current | Accepting new patients | |
| Prime Access Medical Group | Vascular & Interventional Radiology | Current | Accepting new patients |
| West Coast Radiology Associates | Diagnostic Radiology | Current | Accepting new patients |
| Alta Los Angeles Hospital, Inc | Past | Accepting new patients | |
| Loma Linda University Medical Center | Past | Accepting new patients | |
| Northeast Hospital Corporation | Past | Accepting new patients | |
| Avalon Medical Development Corporation | Past | Accepting new patients | |
| High Desert Limb Salvage Institute Podiatrist Corp | Past | Accepting new patients | |
| Gardena Hospital LP | Past | Accepting new patients | |
| Focus Medical Imaging | Diagnostic Radiology | Past | Accepting new patients |
| Ahmc Garfield Medical Center LP | Past | Accepting new patients | |
| Ahmc Monterey Park Hospital LP | Past | Accepting new patients | |
| Alhambra Hospital Medical Center, LP | Past | Accepting new patients | |
| CHHP Holdings II, LLC | Past | Accepting new patients | |
| Ahmc Greater El Monte Comm Hosp LLC | Past | Accepting new patients | |
| Emanate Health Foothill Presbyterian Hospital | Past | Accepting new patients |
Locations
220 S 1st St
Alhambra, CA 91801
Phone (626) 281-6318
320 S Garfield Ave
Ste 312
Alhambra, CA 91801
Phone (213) 814-2506
12611 9th St
Ste F
Chino, CA 91710
Phone (626) 616-8863
2083 Compton Ave
Ste 104
Corona, CA 92881
Phone (951) 256-8191
16661 Ventura Blvd
Ste 824
Encino, CA 91436
Phone (310) 855-7171
521 E Elder St
Ste 104
Fallbrook, CA 92028
Phone (760) 728-9560
267 S San Pedro St
Unit 261
Los Angeles, CA 90012
Phone (310) 600-3430
6221 Wilshire Blvd
Ste 326
Los Angeles, CA 90048
Phone (323) 933-3357
5000 San Bernardino St
Montclair, CA 91763
Phone (909) 625-4111
1417 W Beverly Blvd
Ste 106
Montebello, CA 90640
Phone (310) 242-0919
309 W Beverly Blvd
Montebello, CA 90640
Phone (323) 725-4209
201 W Garvey Ave
Ste 102502
Monterey Park, CA 91754
Phone (909) 574-4686
660 Monterey Pass Rd
Ste 100
Monterey Park, CA 91754
Phone (310) 855-7171
400 Newport Center Dr
Ste 609
Newport Beach, CA 92660
Phone (949) 760-0398
12134 Victory Blvd
Ste C
North Hollywood, CA 91606
Phone (818) 762-8702
9041 Magnolia Ave
Ste 101
Riverside, CA 92503
Phone (951) 687-5755
1522 Constitution Blvd
Salinas, CA 93905
Phone (831) 249-8929
3633 Camino del Rio S
Ste 301
San Diego, CA 92108
2975 Sycamore Dr
Simi Valley, CA 93065
Phone (805) 522-2500
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://api.platform.athenahealth.com/9170/brand/1/csg/1/fhir/r4
Organizations & group practices 31
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.
-
- Vascular & Interventional Radiology Physician
- Montebello, CA
- NPI 1710608492
Diagnostic Radiology
-
- Vascular & Interventional Radiology Physician
- Montebello, CA
- NPI 1407353675
-
- Vascular & Interventional Radiology Physician
- Monterey Park, CA
- NPI 1124818406
-
- Diagnostic Radiology Physician
- Monrovia, CA
- NPI 1528299989
-
- Diagnostic Radiology Physician
- San Dimas, CA
- NPI 1992678494
-
- Vascular & Interventional Radiology Physician
- Montebello, CA
- NPI 1346717824
-
- Specialist
- Alhambra, CA
- NPI 1407889637
-
dba Trinity Hospital
- Medicare Defined Swing Bed Hospital Unit
- Weaverville, CA
- NPI 1407027568
-
dba Trinity Hospital
- Critical Access Hospital
- Weaverville, CA
- NPI 1750462271
-
- Vascular & Interventional Radiology Physician
- Chino, CA
- NPI 1912724048
-
- Family Medicine Physician
- Encino, CA
- NPI 1861674012
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Hollywood Presbyterian Medical Center
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1922033547
-
dba Mission Community Hospital
- General Acute Care Hospital
- Panorama City, CA
- NPI 1750365375
-
dba Foothill Presbyterian Hospital
- General Acute Care Hospital
- Glendora, CA
- NPI 1992733513
-
dba Citrus Valley Medical Center Queen Of the Valley Campus
- General Acute Care Hospital
- West Covina, CA
- NPI 1063441293
-
dba Emanate Health Inter-Community Hospital
- Psychiatric Hospital Unit
- Covina, CA
- NPI 1215063151
-
dba Citrus Valley Medical Center Inter-Community Campus
- General Acute Care Hospital
- Covina, CA
- NPI 1982629440
-
dba Providence Cedars-Sinai Tarzana Medical Center
- General Acute Care Hospital
- Tarzana, CA
- NPI 1821250762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731628800000",
"number": "1770857427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1417 W BEVERLY BLVD STE 106",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "906404125",
"telephone_number": "626-657-8002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1417 W BEVERLY BLVD STE 106",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "906404125",
"telephone_number": "626-657-8002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHI",
"first_name": "VICTOR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-02-28",
"last_updated": "2024-11-15",
"certification_date": "2024-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD442652",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "CA",
"license": "A126057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montebello, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.