Boris Valerievich Shlopov, M.D., PH.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

A112291 Issued in CA

Practice address

800 S Main St
Corona, CA 92882

Phone

(951) 737-4343

NPI assigned

Aug 16, 2007

Sex

Male

Sole proprietor

Yes

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

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

Specialty

Pathology

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Boris Shlopov MD Pathology Medical CorporationGroup PAC ID 5890045306, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Corona Regional Medical Center Hospital, Corona, CA, CCN 050329
• Southwest Healthcare Rancho Springs Hospital Hospital, Murrieta, CA, CCN 050701
• Temecula Valley Hospital Hospital, Temecula, CA, CCN 050775

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Boris Shlopov MD Pathology Medical Corporation

  • Anatomic Pathology & Clinical Pathology Physician
  • Corona, CA
  • NPI 1972080752
  Medicare reassignment Care Compare group Authorized official
• County of Los Angeles

  • General Acute Care Hospital
  • Torrance, CA
  • NPI 1851363188
  Medicare reassignment NPD
• Urology Center of So Calif Medical Group Inc

  • Urology Physician
  • Murrieta, CA
  • NPI 1750604948
  Medicare reassignment NPD
• County of Los Angeles

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1295407401
  NPD
• Urology Center of Southern California Medical Group Inc

  • Urology Physician
  • Corona, CA
  • NPI 1689601536
  NPD
• Urology Center of Southern California Medical Group Inc

  • Urology Physician
  • Murrieta, CA
  • NPI 1982631412
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Temecula Valley Hospital Inc

  • General Acute Care Hospital
  • Temecula, CA
  • NPI 1679816201
  Care Compare affiliation
• Uhs-Corona Inc

  • General Acute Care Hospital
  • Corona, CA
  • NPI 1457347239
  Care Compare affiliation
• Universal Health Services of Rancho Springs Inc

  • General Acute Care Hospital
  • Murrieta, CA
  • NPI 1245221050
  Care Compare affiliation

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534118400000",
    "number": "1801088406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4544",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926904544",
            "telephone_number": "858-877-0267",
            "fax_number": "951-736-6384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S MAIN ST",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "92882",
            "telephone_number": "951-737-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHLOPOV",
        "first_name": "BORIS",
        "middle_name": "VALERIEVICH",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-16",
        "last_updated": "2018-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A112291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Takuma Richard Shito, DPT
• Crysany Short
• Justine Short
• Shreeharidham Inc
• Shreeharidham Inc
• Shreya Medical Group Inc

• Anatomic Pathology & Clinical Pathology Physician in Corona, CA
• Providers in Corona, CA by specialty
• Anatomic Pathology & Clinical Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.