Shalom Medical Group, Inc.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A60371 Issued in CA

Legal business name

SHALOM MEDICAL GROUP, INC.

Practice address

1175 N Euclid St
Anaheim, CA 92801-1938

Phone

(714) 563-1997

NPI assigned

Jul 14, 2006

Organization subpart

No

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

Authorized official

Name

Nathan ChungNPI 1144249152

Title

Director

Phone

(714) 563-1997

Specialties & licenses 1

Addresses

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nathan S Chung, MD

  • Surgery Physician
  • Apple Valley, CA
  • NPI 1144249152

  Surgery

  NPD (past) Authorized official
• Hendrick D Ganding, PT

  • Physical Therapist
  • Adelanto, CA
  • NPI 1700815495
  NPD (past)
• Archieval H Giron, PT

  • Physical Therapist
  • Carson, CA
  • NPI 1851355713
  NPD (past)
• Sang You Kim, M.D.

  • General Practice Physician
  • Chino Hills, CA
  • NPI 1568494367
  NPD (past)
• Mark Anthony Andrew Wimbley

  • General Practice Physician
  • Anaheim, CA
  • NPI 1124040068
  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922024736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 N EUCLID ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011938",
            "telephone_number": "714-563-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 N EUCLID ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011938",
            "telephone_number": "714-563-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "714-563-1997"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A60371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shahed Rahman M.D., Inc.
• Rubina Shaheen, MD
• Ahmad Shahrokh
• Tushar Shailat, M.D.
• Zohreh Shakeri, PA-C
• Fred Melek Shalom, MD
• Padmini Shamasundara, M.D.
• Fariborz Shams, D.O.
• Christopher Shane
• Sherry Xuanming Shang, OD

• All providers in Anaheim, CA
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.