Individual provider Active NPI

John Tze-Chiang Shen, M.D.

  • Specialist
  • Temecula, CA
National Provider Identifier
1902812159
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A86100 Issued in CA
Practice address
27403 Ynez Rd
Suite 106
Temecula, CA 92591-5603
Phone
(951) 526-2044
Fax
(951) 894-4667
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A86100 CA Primary

Addresses

Primary practice location

27403 Ynez Rd
Suite 106
Temecula, CA 92591-5603

Mailing address

27403 Ynez Rd
Suite 106
Temecula, CA 92591-5603
Phone (951) 526-2044

Other identifiers 2

IdentifierTypeStateIssuer
P00399725OtherCARAILROAD MEDICARE PROVIDER NUMBER
00A861000OtherCABLUE SHIELD

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
I20041027001122 CA Practitioner - Dermatology 9931161452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Warren Alpert Medical School of Brown University, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

27403 Ynez Rd
Temecula, CA 92591-4615
Phone (480) 343-2280

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions6682
Removal or shaving of skin growth144

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A86100CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
John T Shen MD, Corp CurrentSince Jan 1, 2007 Accepting new patients
Healthcare Crossing Corporation Past Accepting new patients

Locations

27403 Ynez Rd
Temecula, CA 92591
Phone (951) 852-9805

27403 Ynez Rd
Ste 106
Temecula, CA 92591
Phone (480) 343-2280

Organizations & group practices 2

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1902812159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27403 YNEZ RD",
            "address_2": "SUITE 106",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925915603",
            "telephone_number": "951-526-2044",
            "fax_number": "951-894-4667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27403 YNEZ RD",
            "address_2": "SUITE 106",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925915603",
            "telephone_number": "951-526-2044",
            "fax_number": "951-894-4667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEN",
        "first_name": "JOHN",
        "middle_name": "TZE-CHIANG",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A86100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROVIDER NUMBER",
            "identifier": "P00399725",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A861000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.