Yen Shiu Shih, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

46137 Issued in CA

Practice address

2413 S Grove Ave
Ontario, CA 91761-6225

Phone

(626) 454-0865

NPI assigned

Oct 29, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1902085855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 S DIAMOND BAR BLVD STE 879",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651607",
            "telephone_number": "626-454-0865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2413 S GROVE AVE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917616225",
            "telephone_number": "626-454-0865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "470 Orange St",
            "address_purpose": "LOCATION",
            "city": "Redlands",
            "state": "CA",
            "postal_code": "923743240",
            "country_code": "US",
            "telephone_number": "909-793-4585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIH",
        "first_name": "YEN",
        "middle_name": "SHIU",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-29",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "5611",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "46137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902085855",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosa Shetty
• SHHC Services Ca LLC
• Zirou Shi
• Shield California Health Care Center Inc
• Jefferson Shifter
• Marnie Shimizu
• Yongjean Shin, D.D.S.
• Richard Allan Shinto, M.D.
• Amber Shoats
• Daeja Shobey

• Dentist in Ontario, CA
• Providers in Ontario, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.