Individual provider Active NPI

Andrea Catherine Randall Shih, M.D.

  • Obstetrics & Gynecology Physician
  • La Quinta, CA
National Provider Identifier
1831390475
Registry record updated Feb 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A89082 Issued in CA
Practice address
45280 Seeley Dr
3Rd Floor
La Quinta, CA 92253-6834
Phone
(760) 610-7300
Fax
(760) 610-7301
NPI assigned
May 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A89082 CA Primary

Addresses

Primary practice location

45280 Seeley Dr
3Rd Floor
La Quinta, CA 92253-6834

Mailing address

45280 Seeley Dr
3Rd Floor
La Quinta, CA 92253-6834
Phone (760) 610-7220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A89082CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eisenhower Medical Center Past Accepting new patients
Teresa P. Avants, M.D., Inc. Obstetrics & Gynecology Past Accepting new patients
T.P. Avants MD Inc Obstetrics & Gynecology PastSince Jan 10, 2017 Accepting new patients

Organizations & group practices 3

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": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456704000000",
    "number": "1831390475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45280 SEELEY DR",
            "address_2": "3RD FLOOR",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922536834",
            "telephone_number": "760-610-7220",
            "fax_number": "760-610-7302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45280 SEELEY DR",
            "address_2": "3RD FLOOR",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922536834",
            "telephone_number": "760-610-7300",
            "fax_number": "760-610-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDALL SHIH",
        "first_name": "ANDREA",
        "middle_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2016-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A89082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Quinta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; 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.