Individual provider Active NPI

Victor Shi, M.D.

  • Vascular & Interventional Radiology Physician
  • Montebello, CA
National Provider Identifier
1770857427
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
A126057 Issued in CA
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131023001742 CA Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 3173758356 Reassigns benefits to 14 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic 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
Menalam Health Services PCGroup PAC ID 7012319163, 89 clinicians
Art Vascular and Interventional Associates IncGroup PAC ID 0446506158, 2 clinicians
CVS Medical Group IncGroup PAC ID 7315278702, 2 clinicians
Multispecialty and Vascular Partners IncGroup PAC ID 3577931096, 2 clinicians
Focus Medical ImagingGroup PAC ID 6406999259, 95 clinicians
West Coast Radiology AssociatesGroup PAC ID 6507351343, 6 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.46

Merit-based Incentive Payment System (MIPS)

Final score
98.21 of 100Reported as group
Quality
92.22
Improvement activities
40
Cost
74.96

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Varicose vein removal183
Leg revascularization (restoring blood flow)138

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD442652PAMDDiagnostic Radiology Physician
A126057CAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Menalam Health Services PC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Menalam Health Services PC CurrentSince Jan 1, 2026 Accepting new patients
Arterial Interventional Centers, Inc. Vascular & Interventional Radiology CurrentSince Aug 29, 2025 Accepting new patients
Mountain Communities Healthcare District CurrentSince Sep 17, 2023 Accepting new patients
United Medical Doctors CurrentSince Oct 1, 2019 Accepting new patients
Superclinic Professionals Medical Corp a California Corporation CurrentSince Aug 14, 2018 Accepting new patients
Mountain Communities Healthcare District CurrentSince Sep 17, 2023 Accepting new patients
Art Vascular & Interventional Associates Inc Vascular & Interventional Radiology CurrentSince Apr 2, 2018 Accepting new patients
Comprehensive Cardiovascular Specialists, a Medical Corporation CurrentSince Oct 13, 2018 Accepting new patients
Focus Medical Imaging Diagnostic Radiology CurrentSince Oct 1, 2016 Accepting new patients
Beaumont Radiology Services LLC CurrentSince Dec 18, 2013 Accepting new patients
Multispecialty & Vascular Partners Inc Diagnostic Radiology CurrentSince Sep 1, 2022 Accepting new patients
Mountain Communities Healthcare District Current Accepting new patients
United Medical Doctors CurrentSince Oct 1, 2019 Accepting new patients
Ramtin Massoudi MD Inc CurrentSince Mar 1, 2021 Accepting new patients
Prime Access Medical Group Vascular & Interventional Radiology CurrentSince Sep 22, 2024 Accepting new patients
West Coast Radiology Associates Diagnostic Radiology CurrentSince Oct 5, 2025 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 PastSince Apr 17, 2025 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

  • FHIR API: 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.

View all 31

Hospital & facility affiliations 7

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": "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

Verify at the official NPI Registry.