Individual provider Active NPI

Shirley Xiaomei Xu, MD

  • Family Medicine Physician
  • Santa Monica, CA
National Provider Identifier
1790791945
Registry record updated May 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A67363 Issued in CA
Practice address
1711 Ocean Park Blvd
Santa Monica, CA 90405-4901
Phone
(310) 450-4773
Fax
(310) 450-0873
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A67363 CA Primary

Addresses

Primary practice location

1711 Ocean Park Blvd
Santa Monica, CA 90405-4901

Mailing address

1711 Ocean Park Blvd
Santa Monica, CA 90405-4901
Phone (310) 450-4773

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
I20040322001671 CA Practitioner - Family Practice 7416848239 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A67363CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care of California, a Medical Corporation CurrentSince Nov 1, 2019 Accepting new patients
American Current Care of California, a Medical Corporation Current Accepting new patients
The Regents of the University of California Family Medicine CurrentSince Feb 1, 2020 Accepting new patients
American Current Care of California, a Medical Corporation CurrentSince Nov 1, 2019 Accepting new patients
The Regents of the University of California CurrentSince Feb 1, 2020 Accepting new patients
Regents of the University of California CurrentSince Feb 1, 2020 Accepting new patients
Regents of the University of California Family Medicine CurrentSince Feb 1, 2020 Accepting new patients
Westside Family Health Center CurrentSince Sep 20, 2014 Accepting new patients
Synergy Hematology Oncology Medical Associates Inc Past Accepting new patients
Synergy Hematology Oncology Medical Associates, Inc. Past Accepting new patients
Westside Family Health Center PastSince Aug 30, 2020 Accepting new patients

Locations (25 of 27)

1800 Westwind Dr
Ste 301
Bakersfield, CA 93301
Phone (661) 327-9617

15302 El Prado Rd
Chino, CA 91710
Phone (909) 393-7222

3861 Sepulveda Blvd
Culver City, CA 90230
Phone (310) 450-2191

2555 S East Ave
Fresno, CA 93706
Phone (559) 499-2400

1000 Flower St
Glendale, CA 91201
Phone (818) 659-5000

24302 Paseo de Valencia
Ste 200
Laguna Hills, CA 92653
Phone (949) 458-8252

File 59755
Los Angeles, CA 90074

File 55737
Los Angeles, CA 90074

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

1340 Mitchell Rd
Modesto, CA 95351
Phone (209) 581-9711

25115 Madison Ave
Murrieta, CA 92562
Phone (951) 600-9070

1101 S Milliken Ave
Ste C
Ontario, CA 91761
Phone (909) 390-2799

1851 Lombard St
Ste 100
Oxnard, CA 93030
Phone (805) 983-2234

640 S Placentia Ave
Placentia, CA 92870
Phone (714) 579-7772

2 Connecticut St
San Francisco, CA 94107
Phone (415) 621-5055

2587 Merced St
San Leandro, CA 94577
Phone (510) 351-3553

740 Nordahl Rd
Ste 131
San Marcos, CA 92069
Phone (760) 432-9000

800 N Tustin Ave
Ste A
Santa Ana, CA 92705
Phone (714) 245-0800

988 Walsh Ave
Santa Clara, CA 95050
Phone (408) 988-6868

1711 Ocean Park Blvd
Santa Monica, CA 90405
Phone (310) 450-2191

2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381

1221 N Dutton Ave
Santa Rosa, CA 95401
Phone (707) 543-8360

3 S Linden Ave
South San Francisco, CA 94080
Phone (650) 238-1500

3663 Arch Rd
Ste 400
Stockton, CA 95215
Phone (209) 943-2202

100 Moody Ct
Ste 200
Thousand Oaks, CA 91360
Phone (805) 418-3500

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JAHCCA

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369353600000",
    "number": "1790791945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 OCEAN PARK BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904054901",
            "telephone_number": "310-450-4773",
            "fax_number": "310-450-0873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 OCEAN PARK BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904054901",
            "telephone_number": "310-450-4773",
            "fax_number": "310-450-0873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XU",
        "first_name": "SHIRLEY",
        "middle_name": "XIAOMEI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2013-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A67363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.