Individual provider Active NPI

Elana L Sheldon, MD

  • Internal Medicine Physician
  • Pasadena, CA
National Provider Identifier
1790708915
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A67217 Issued in CA
Practice address
301 S Fair Oaks Ave Ste 405
Pasadena
Pasadena, CA 91105-2562
Phone
(626) 792-1912
Fax
(626) 792-1960
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A67217 CA Primary

Addresses

Primary practice location

301 S Fair Oaks Ave Ste 405
Pasadena
Pasadena, CA 91105-2562

Mailing address

50 Bellefontaine St
Ste 403
Pasadena, CA 91105-3132
Phone (626) 792-1912

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
I20100615000878 CA Practitioner - Internal MedicinePractitioner - Family Practice 0749310860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of California, San Diego School of Medicine, 1997
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Pasadena Family Medicine IncGroup PAC ID 0244286128, 2 clinicians

Practice addresses (Care Compare)

50 Bellefontaine St
Pasadena, CA 91105-3132
Phone (626) 792-1912

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A67217CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pasadena Family Medicine Inc CurrentSince Mar 14, 2010 Accepting new patients
Usc Verdugo Hills Hospital, LLC Past Accepting new patients

Locations

50 Bellefontaine St
Ste 403
Pasadena, CA 91105
Phone (408) 372-8380

301 S Fair Oaks Ave
Ste 405
Pasadena, CA 91105
Phone (626) 440-7325

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: elana.sheldon.p76@direct.healthcarepartners.nextgenshare.com

Organizations & group practices 2

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 1

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1790708915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 BELLEFONTAINE ST",
            "address_2": "STE 403",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053132",
            "telephone_number": "626-792-1912",
            "fax_number": "626-792-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S FAIR OAKS AVE STE 405",
            "address_2": "PASADENA",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052562",
            "telephone_number": "626-792-1912",
            "fax_number": "626-792-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELDON",
        "first_name": "ELANA",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A67217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.