Individual provider Active NPI

Vineet Kumar Shrivastava, M.D.

  • Maternal & Fetal Medicine Physician
  • Long Beach, CA
National Provider Identifier
1912927500
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
A86382 Issued in CA
Practice address
2888 Long Beach Blvd Ste 400
Long Beach, CA 90806-1553
Phone
(562) 997-8510
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X A86382 CA Primary

Addresses

Primary practice location

2888 Long Beach Blvd Ste 400
Long Beach, CA 90806-1553

Mailing address

PO Box 513980
Los Angeles, CA 90051-3980
Phone (714) 456-6431

Other practice location 1

15785 Laguna Canyon Rd Ste 360
Irvine, CA 92618-3183
Phone (949) 788-0079

Other practice location 2

101 City Drive South
Orange, CA 92868
Phone (714) 456-6431

Other practice location 3

361 Hospital Rd Ste 229
Newport Beach, CA 92663-3523
Phone (949) 515-7861

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGOtherCAMEDI-CAL

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
I20090110000097 CA Practitioner - Obstetrics/Gynecology 9537222088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Magella Medical Group IncGroup PAC ID 7214827591, 23 clinicians

Practice addresses (Care Compare)

2888 Long Beach Blvd
Suite 400
Long Beach, CA 90806-1553
Phone 80024338397746

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A86382CAMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saddleback Memorial Medical Center Past Accepting new patients
University of California Irvine Past Accepting new patients
Pih Health Whittier Hospital Past Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients
Diagnostic Imaging Services Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Torrance Memorial Medical Center Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: vshrivastavamd16962@direct.memorialcare.org

Organizations & group practices 10

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1912927500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 513980",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900513980",
            "telephone_number": "714-456-6431",
            "fax_number": "714-456-7754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2888 LONG BEACH BLVD STE 400",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061553",
            "telephone_number": "562-997-8510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15785 Laguna Canyon Rd Ste 360",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926183183",
            "country_code": "US",
            "telephone_number": "949-788-0079",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 City Drive South",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "92868",
            "country_code": "US",
            "telephone_number": "714-456-6431",
            "fax_number": "714-456-7754",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "361 Hospital Rd Ste 229",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926633523",
            "country_code": "US",
            "telephone_number": "949-515-7861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHRIVASTAVA",
        "first_name": "VINEET",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "CA",
            "license": "A86382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "PENDING",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.