Individual provider Active NPI

Shauna Higgins, M.D.

  • Dermatology Physician
  • Los Angeles, CA
National Provider Identifier
1851785752
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A146077 Issued in CA
Practice address
888 S Figueroa St Ste 1050
Los Angeles, CA 90017-5310
Phone
(213) 319-3339
NPI assigned
Mar 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A146077 CA Primary

Addresses

Primary practice location

888 S Figueroa St Ste 1050
Los Angeles, CA 90017-5310

Mailing address

64 Robbins St
Waterbury, CT 06708-2613
Phone (203) 573-6162

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
I20220720003727 CA Practitioner - Dermatology 5496009607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of California, Geffen School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
James Y Wang MD IncGroup PAC ID 7618213406, 15 clinicians

Practice addresses (Care Compare)

888 S Figueroa St
Suite 1050
Los Angeles, CA 90017-5310
Phone (213) 319-3339

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions12
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A146077CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
James Y. Wang, MD, Inc. Dermatology CurrentSince Sep 1, 2022 Accepting new patients

Locations

11645 Wilshire Blvd
Los Angeles, CA 90025
Phone (310) 481-0481

888 S Figueroa St
Ste 1050
Los Angeles, CA 90017
Phone (213) 319-3339

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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": "1427414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1851785752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 ROBBINS ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082613",
            "telephone_number": "203-573-6162",
            "fax_number": "203-573-6707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 S FIGUEROA ST STE 1050",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900175310",
            "telephone_number": "213-319-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGGINS",
        "first_name": "SHAUNA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-27",
        "last_updated": "2024-10-01",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A146077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.