Individual provider Active NPI

Shilpa R Shah

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1902069958
Registry record updated Oct 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A126796 Issued in CA
Practice address
1700 E Cesar E Chavez Ave Ste 3500
Los Angeles, CA 90033-2480
Phone
(323) 264-0430
NPI assigned
Jul 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2013

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 A126796 CA Primary

Addresses

Primary practice location

1700 E Cesar E Chavez Ave Ste 3500
Los Angeles, CA 90033-2480

Mailing address

1700 E Cesar E Chavez Ave Ste 3500
Los Angeles, CA 90033-2480

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
I20141105001200 CA Practitioner - Hematology/Oncology 3577709559 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A126796CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Austin J Ma, M.D., a Professional Corporation CurrentSince Aug 17, 2014 Accepting new patients

Locations

412 W Carroll Ave
Ste 210
Glendora, CA 91741
Phone (626) 335-2277

1700 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 264-0430

1700 E Cesar E Chavez Ave
Ste 3500
Los Angeles, CA 90033
Phone (323) 264-0430

1851 Lombard St
Ste 105
Oxnard, CA 93030
Phone (805) 278-5950

71777 San Jacinto Dr
Ste 1
Rancho Mirage, CA 92270
Phone (760) 969-6505

1473 Ford St
Ste 104
Redlands, CA 92373
Phone (909) 307-1250

Interoperability endpoints

  • Direct secure messaging: shilpa.shah@theoncologyinstitute.ikm.direct-ci.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: shilpa.shah.p1@direct.lakeside.nextgenshare.com
  • Direct secure messaging: sshah262800@direct.llu.edu

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": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381968000000",
    "number": "1902069958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E CESAR E CHAVEZ AVE STE 3500",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E CESAR E CHAVEZ AVE STE 3500",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332480",
            "telephone_number": "323-264-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SHILPA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2013-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A126796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.