Individual provider Active NPI

Albert C Shen, M.D.

  • Internal Medicine Physician
  • San Jose, CA
National Provider Identifier
1851481758
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G75131 Issued in CA
Practice address
316 Rosewood Ave
San Jose, CA 95117-1605
Phone
(408) 296-9800
Fax
(408) 296-9805
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X G75131 CA
Internal Medicine Physician 207R00000X G75131 CA Primary

Addresses

Primary practice location

316 Rosewood Ave
San Jose, CA 95117-1605

Mailing address

316 Rosewood Ave
San Jose, CA 95117-1605
Phone (408) 296-9800

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
I20071130000191 CA Practitioner - Internal MedicinePractitioner - Pediatric Medicine 2466541305 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Chicago College of Medicine and Surgery, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

316 Rosewood Ave
San Jose, CA 95117-1647
Phone (408) 296-9800

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G75131CAMDPediatrics Physician
54917CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Shen Medicine & Pediatrics Assc Internal Medicine Current Accepting new patients
Shen Medicine & Pediatrics Associates a Professional Corporation CurrentSince Sep 14, 2015 Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients
O'Connor Hospital Past Accepting new patients
County of Santa Clara Past Accepting new patients
Lucile Salter Packard Children'S Hospital at Stanford Past Accepting new patients

Locations

316 Rosewood Ave
San Jose, CA 95117
Phone (203) 207-1370

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HJJADA/Endpoint/HJJADA
  • Direct secure messaging: ashen42189@santaclaravalley.direct-ci.net

Organizations & group practices 7

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437004800000",
    "number": "1851481758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 ROSEWOOD AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951171605",
            "telephone_number": "408-296-9800",
            "fax_number": "408-296-9805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 ROSEWOOD AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951171605",
            "telephone_number": "408-296-9800",
            "fax_number": "408-296-9805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEN",
        "first_name": "ALBERT",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2015-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G75131",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G75131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.