Individual provider Active NPI

Shaundeep Sekhon

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1891256566
Registry record updated Jul 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
125.073763 Issued in IL
Practice address
650 Charles E Young Dr S
Los Angeles, CA 90095-2908
Phone
(310) 206-6286
NPI assigned
Mar 26, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125.073763 IL Primary

Addresses

Primary practice location

650 Charles E Young Dr S
Los Angeles, CA 90095-2908

Mailing address

650 Charles E Young Dr S
Los Angeles, CA 90095-2908
Phone (310) 206-6286

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20190530000459 IL Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 4486997731

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688256000000",
    "number": "1891256566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 CHARLES E YOUNG DR S",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900952908",
            "telephone_number": "310-206-6286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 CHARLES E YOUNG DR S",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900952908",
            "telephone_number": "310-206-6286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEKHON",
        "first_name": "SHAUNDEEP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-26",
        "last_updated": "2023-07-02",
        "certification_date": "2023-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125.073763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.