Active NPI
John K Shaib, MD
- Nephrology Physician
- Downey, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- G40205
- Practice address
- 9040 Telegraph Rd
Site 100
Downey, CA 90240-2393 - Phone
- (562) 861-0954
- Fax
- (562) 861-3739
- NPI assigned
- Jun 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | G40205 | CA | Primary |
Addresses
Primary practice location
9040 Telegraph Rd
Site 100
Downey, CA 90240-2393
Mailing address
PO Box 486
Artesia, CA 90702-0486
Phone (562) 861-0954
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110060907 | Other | RAILROAD | |
| P00357366 | Other | RAILROAD | |
| 015521 | Other | HEALTH NET ID # | |
| 00G402050 | Medicaid | CA | |
| 00G402051 | Other | CA | BLUE SHIELD # |
| 00G402050 | Other | CA | BLUE SHIELD # |
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
| License | State | Type | Specialty |
|---|---|---|---|
| G40205 | CA | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caremore Medical Group Inc | Current | Accepting new patients | |
| Rubin and McNamara MDS Inc | Past | Accepting new patients | |
| Pih Health Downey Hospital | Past | Accepting new patients | |
| Ahmc Whittier Hospital Medical Center LP | Past | Accepting new patients | |
| Caremore Medical Group | Nephrology | Past | Accepting new patients |
| Pih Health Whittier Hospital | Past | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients |
Locations
12900 Park Plaza Dr
Ste 150
Cerritos, CA 90703
Phone (562) 622-2800
9040 Telegraph Rd
Downey, CA 90240
Phone (562) 861-0954
9040 Telegraph Rd
Ste 100
Downey, CA 90240
Phone (562) 861-0954
9040 Telegraph Rd
Ste 102
Downey, CA 90240
Phone (562) 861-0954
10000 Lakewood Blvd
Downey, CA 90240
Phone (562) 862-3684
Organizations & group practices 8
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.
-
- Family Medicine Physician
- Cerritos, CA
- NPI 1760435705
-
- Medicare Defined Swing Bed Hospital Unit
- Whittier, CA
- NPI 1497855605
-
- Physical Medicine & Rehabilitation Physician
- Cerritos, CA
- NPI 1770656829
Nephrology
-
- General Acute Care Hospital
- Downey, CA
- NPI 1265433551
-
- General Acute Care Hospital
- Whittier, CA
- NPI 1043215379
-
- Hematology & Oncology Physician
- La Mirada, CA
- NPI 1659328219
-
- General Acute Care Hospital
- Lakewood, CA
- NPI 1184655581
-
- General Acute Care Hospital
- Placentia, CA
- NPI 1700817756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426464000000",
"number": "1851339048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 486",
"city": "ARTESIA",
"state": "CA",
"postal_code": "907020486",
"telephone_number": "562-861-0954",
"fax_number": "562-861-3739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9040 TELEGRAPH RD",
"address_2": "SITE 100",
"city": "DOWNEY",
"state": "CA",
"postal_code": "902402393",
"telephone_number": "562-861-0954",
"fax_number": "562-861-3739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAIB",
"first_name": "JOHN",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2015-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "CA",
"license": "G40205",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "110060907",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "P00357366",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET ID #",
"identifier": "015521",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G402050",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD #",
"identifier": "00G402051",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD #",
"identifier": "00G402050",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Downey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.