Kai B Shum, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

12434T Issued in CA

Practice address

1019 Alameda de Las Pulgas
Belmont, CA 94002-3507

Phone

(650) 594-1019

Fax

(650) 631-1242

NPI assigned

Jan 15, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dr Patricia Chang Optometric Group Inc.

  • Optometrist
  • Millbrae, CA
  • NPI 1861544975
  NPD (past)
• Elena Wong O.D., Inc.

  • Optometrist
  • Belmont, CA
  • NPI 1386283935
  NPD (past)
• Luxottica of America Inc.

  • Eyewear Supplier
  • Riverside, CA
  • NPI 1366598120
  NPD (past)
• Luxottica of America Inc

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331251200000",
    "number": "1780735928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 CATALPA WAY",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940661904",
            "telephone_number": "650-873-4594",
            "fax_number": "650-873-2512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 ALAMEDA DE LAS PULGAS",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940023507",
            "telephone_number": "650-594-1019",
            "fax_number": "650-631-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUM",
        "first_name": "KAI",
        "middle_name": "B",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2012-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12434T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Select Cal Physical Therapy PC
• Select Physical Therapy Holdings Inc
• Semax Enterprises, Inc.
• Hyunjin Seo, RPH
• Alanna Maureen Shaw, LMFT
• Flora Siao, PHARMD
• Grace Siliezar
• James Lamont Simmons
• Molly Simpson
• Christopher Anthony Smith

• Optometrist in Belmont, CA
• Providers in Belmont, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.