NPIMap

Individual provider Active NPI

Hubert Shih, MD

  • Plastic Surgery Physician
  • Cupertino, CA
National Provider Identifier
1770873606
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
A122103 Issued in CA
Practice address
10430 S de Anza Blvd Ste 170
Cupertino, CA 95014-3000
Phone
(408) 650-8989
Fax
(408) 580-0209
NPI assigned
Apr 12, 2011
Last updated
Sep 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X A122103 CA Primary

Addresses

Primary practice location

10430 S de Anza Blvd Ste 170
Cupertino, CA 95014-3000

Mailing address

10430 S de Anza Blvd Ste 170
Cupertino, CA 95014-3000
Phone (408) 650-8989

Other practice location 1

Surgical Specialty Clinic, San Mateo Medical Center
222 West 39th Ave
San Mateo, CA 94403
Phone (650) 573-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180529002899 CA Practitioner - Plastic and Reconstructive Surgery 3375808017 Reassigns benefits to 4 organizations
Practice locations: Cupertino, CA

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of California, Geffen School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of San MateoGroup PAC ID 9032023171, shared by 15 NPIs, 316 clinicians

Practice addresses (Care Compare)

222 W 39TH Ave
San Mateo, CA 94403-4364
Phone (650) 573-2222

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A122103CAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of San Mateo CurrentSince Mar 29, 2025 Accepting new patients
County of San Mateo CurrentSince Apr 10, 2018 Accepting new patients
County of San Mateo CurrentSince Apr 10, 2018 Accepting new patients
Hubert B Shih MD a Medical Corporation Plastic Surgery CurrentSince Sep 12, 2021 Accepting new patients
County of San Mateo CurrentSince Apr 10, 2018 Accepting new patients
Eric Li MD and Associates Inc CurrentSince Sep 12, 2021 Accepting new patients

Locations

10430 S De Anza Blvd
Ste 170
Cupertino, CA 95014
Phone (408) 650-8989

222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222

Interoperability endpoints

  • Direct secure messaging: hshih18997@northeastmedicalservicesnems.direct-ci.com
  • Direct secure messaging: hshih19701@smch.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1302566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1770873606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10430 S DE ANZA BLVD STE 170",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143000",
            "telephone_number": "408-650-8989",
            "fax_number": "408-580-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10430 S DE ANZA BLVD STE 170",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143000",
            "telephone_number": "408-650-8989",
            "fax_number": "408-580-0209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Surgical Specialty Clinic, San Mateo Medical Center",
            "address_2": "222 West 39th Ave",
            "address_purpose": "LOCATION",
            "city": "San Mateo",
            "state": "CA",
            "postal_code": "94403",
            "country_code": "US",
            "telephone_number": "650-573-2222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIH",
        "first_name": "HUBERT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-12",
        "last_updated": "2021-09-08",
        "certification_date": "2021-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A122103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cupertino, CA

Sources for this page

Verify at the official NPI Registry.