Individual provider Active NPI

Anuja P. Shah, M.D.

  • Nephrology Physician
  • Torrance, CA
National Provider Identifier
1851414569
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A96125 Issued in CA
Practice address
1000 W Carson St BLDG N-28
Torrance, CA 90502-2004
Phone
(310) 222-3891
Fax
(310) 782-1837
NPI assigned
Apr 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A96125 CA Primary

Addresses

Primary practice location

1000 W Carson St BLDG N-28
Torrance, CA 90502-2004

Mailing address

1000 W Carson St
C1 Annex
Torrance, CA 90502-2004
Phone (310) 222-3891

Other practice location 1

21840 Normandie Ave Ste 700
Torrance, CA 90502-2047
Phone (310) 222-5189

Other identifiers 2

IdentifierTypeStateIssuer
M050376OtherCAGROUP
DA6447OtherCARRM

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
I20090113000048 CA Practitioner - NephrologyPractitioner - Internal Medicine 7113080458 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Northwestern University Feinberg Medical School, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prohealth Partners, a Medical GroupGroup PAC ID 2769388412, 236 clinicians

Practice addresses (Care Compare)

1124 W Carson St
Torrance, CA 90502-2006
Phone (310) 222-2773

Hospital & facility affiliations

  • DaVita Harbor UCLA Dialysis facility, Torrance, CA, CCN 052802
  • Lac/Harbor-UCLA Med Center Hospital, Torrance, CA, CCN 050376
  • Martin Luther King, Jr. Community Hospital Hospital, Los Angeles, CA, CCN 050779

Merit-based Incentive Payment System (MIPS)

Final score
38.53 of 100Reported as group
Quality
20.07
Promoting interoperability
0
Improvement activities
0
Cost
75.03

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Partners, a Medical Group Internal Medicine Current Accepting new patients
County of Los Angeles CurrentSince Dec 12, 2007 Accepting new patients
Prohealth Partners, a Medical Group, Inc. Internal Medicine CurrentSince Aug 1, 2019 Accepting new patients
Prohealth Partners a Medical Group Nephrology CurrentSince Aug 1, 2019 Accepting new patients
County of Los Angeles CurrentSince Dec 12, 2007 Accepting new patients
Prohealth Partners a Medical Group Inc Internal Medicine Past Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000

5150 E Pacific Coast Hwy
Ste 500
Long Beach, CA 90804
Phone (562) 299-5200

File 54567
Los Angeles, CA 90074
Phone (310) 491-9060

1124 W Carson St
Torrance, CA 90502
Phone (310) 222-2773

1000 W Carson St
Bldg N28
Torrance, CA 90502
Phone (310) 222-2728

21840 Normandie Ave
Torrance, CA 90502
Phone (310) 222-5015

1000 W Carson St
#C1
Torrance, CA 90502
Phone (310) 222-2401

21840 Normandie Ave
Ste 100
Torrance, CA 90502
Phone (310) 222-5015

21840 Normandie Ave
Ste 700
Torrance, CA 90502
Phone (310) 222-5101

1000 W Carson St
Torrance, CA 90502
Phone (310) 222-3501

20911 Earl St
Ste 180
Torrance, CA 90503
Phone (310) 370-4660

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

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 2

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": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1851414569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W CARSON ST",
            "address_2": "C1 ANNEX",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905022004",
            "telephone_number": "310-222-3891",
            "fax_number": "310-782-1837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W CARSON ST BLDG N-28",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905022004",
            "telephone_number": "310-222-3891",
            "fax_number": "310-782-1837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21840 Normandie Ave Ste 700",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905022047",
            "country_code": "US",
            "telephone_number": "310-222-5189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "ANUJA",
        "middle_name": "P.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A96125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP",
            "identifier": "M050376",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRM",
            "identifier": "DA6447",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.