Individual provider Active NPI

Kent T Shoji, MD

  • Emergency Medicine Physician
  • Torrance, CA
National Provider Identifier
1891745089
Registry record updated Sep 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
G25309 Issued in CA
Practice address
4101 Torrance Blvd
Torrance, CA 90503-4607
Phone
(310) 303-5600
Fax
(310) 303-5609
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X G25309 CA Primary

Addresses

Primary practice location

4101 Torrance Blvd
Torrance, CA 90503-4607

Mailing address

20 Vista Real Dr
Rolling Hills Estates, CA 90274-4227
Phone (310) 251-3225

Other identifiers 1

IdentifierTypeStateIssuer
00G253090MedicaidCA

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
I20040921000701 CA Practitioner - Emergency MedicinePractitioner - Rheumatology 3375511058 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Rheumatology
Education
Medical College of Wisconsin, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Facey Medical FoundationGroup PAC ID 3173436276, 324 clinicians

Practice addresses (Care Compare)

19950 Rinaldi St
Porter Ranch, CA 91326-4141
Phone (818) 403-2400

6020 Seabluff Dr
Suite 1
Playa Vista, CA 90094-2211
Phone (310) 862-0400

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Facey Medical Foundation CurrentSince Mar 1, 2020 Accepting new patients
Emergency Specialist Physicians Medical Associates, Inc Emergency Medicine CurrentSince Jul 1, 1997 Accepting new patients
Providence Facey Medical Foundation CurrentSince Mar 1, 2020 Accepting new patients
Exer Medical Corporation CurrentSince Apr 1, 2023 Accepting new patients
Providence Facey Medical Foundation Current Accepting new patients
Providence Health System Southern California Past Accepting new patients
Dignity Health Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients

Locations (25 of 35)

26777 Agoura Rd
Ste 4
Calabasas, CA 91302
Phone (818) 880-2225

26777 Agoura Rd
#4
Calabasas, CA 91302
Phone (818) 880-2225

359 Carmen Dr
Camarillo, CA 93010
Phone (805) 914-5592

235 E 17th St
Costa Mesa, CA 92627
Phone (949) 688-2010

2381 Rosecrans Ave
Ste 115
El Segundo, CA 90245
Phone (213) 335-7355

7000 Boulder Ave
Ste 103
Highland, CA 92346
Phone (515) 441-6271

475 Foothill Blvd
La Canada, CA 91011
Phone (818) 528-6377

8000 W Sunset Blvd
Ste C110
Los Angeles, CA 90046
Phone (213) 412-0400

2090 Westwood Blvd
Los Angeles, CA 90025
Phone (213) 813-4070

1300 N La Brea Ave
Los Angeles, CA 90028
Phone (323) 464-1336

8985 Venice Blvd
Los Angeles, CA 90034
Phone (310) 474-2152

8985 Venice Blvd
Ste A3B
Los Angeles, CA 90034
Phone (424) 502-1020

5717 Melrose Ave
Los Angeles, CA 90038
Phone (323) 957-2273

11560 W Pico Blvd
Los Angeles, CA 90064
Phone (310) 477-8285

3215 N Sepulveda Blvd
Manhattan Beach, CA 90266
Phone (424) 295-0540

4730 Lincoln Blvd
Marina del Rey, CA 90292
Phone (424) 352-0371

11126 Chandler Blvd
North Hollywood, CA 91601
Phone (818) 432-8300

19346 Nordhoff St
Northridge, CA 91324
Phone (818) 727-2024

3160 E Del Mar Blvd
Ste 110
Pasadena, CA 91107
Phone (626) 270-2400

600 S Lake Ave
Ste 105
Pasadena, CA 91106
Phone (626) 572-4000

6020 Seabluff Dr
Ste 1
Playa Vista, CA 90094
Phone (310) 862-0400

19950 Rinaldi St
Ste 103
Porter Ranch, CA 91326
Phone (818) 403-2400

725 S Pacific Coast Hwy
Redondo Beach, CA 90277
Phone (424) 296-3100

395 Silver Spur Rd
Rolling Hills Estates, CA 90274
Phone (424) 323-3500

14550 Soledad Canyon Rd
#100
Santa Clarita, CA 91387
Phone (661) 488-7402

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.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189987200000",
    "number": "1891745089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 VISTA REAL DR",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902744227",
            "telephone_number": "310-251-3225",
            "fax_number": "310-539-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 TORRANCE BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034607",
            "telephone_number": "310-303-5600",
            "fax_number": "310-303-5609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOJI",
        "first_name": "KENT",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2007-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G25309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G253090",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.