Individual provider Active NPI

Shruti Mahindrakar Ariza, MD

  • Gastroenterology Physician
  • Orange, CA
National Provider Identifier
1962657023
Registry record updated Jan 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A121720 Issued in CA
Practice address
1140 W la Veta Ave
Suite 555
Orange, CA 92868-4225
Phone
(714) 835-5100
NPI assigned
Nov 17, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A121720 CA Primary

Addresses

Primary practice location

1140 W la Veta Ave
Suite 555
Orange, CA 92868-4225

Mailing address

1140 W la Veta Ave
Suite 555
Orange, CA 92868-4225
Phone (714) 835-5100

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
I20120926000211 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 9032274139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
United Medical DoctorsGroup PAC ID 2961305651, 168 clinicians

Practice addresses (Care Compare)

18111 Brookhurst St
Suite 5200
Fountain Valley, CA 92708-6728
Phone (714) 962-7705

Hospital & facility affiliations

  • Providence St. Joseph Hospital Hospital, Orange, CA, CCN 050069

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy92
Upper gastrointestinal (GI) endoscopy for acid reflux39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
121720CAMDMarriage & Family Therapist
A121720CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Medical Doctors CurrentSince Mar 18, 2018 Accepting new patients
United Medical Doctors Gastroenterology CurrentSince Mar 18, 2018 Accepting new patients
Mission Hospital Regional Medical Center Past Accepting new patients
Mission Hospital, Inc. Past Accepting new patients
St Vincents Hospital and Medical Center Past Accepting new patients

Locations

2083 Compton Ave
Ste 104
Corona, CA 92881
Phone (951) 256-8191

521 E Elder St
Ste 104
Fallbrook, CA 92028
Phone (760) 728-9560

18111 Brookhurst St
#5200
Fountain Valley, CA 92708
Phone (714) 962-7705

16405 Sand Canyon Ave
Ste 250
Irvine, CA 92618
Phone (949) 502-5572

15825 Laguna Canyon Rd
Ste 100
Irvine, CA 92618
Phone (949) 679-6700

26732 Crown Valley Pkwy
Ste 241
Mission Viejo, CA 92691
Phone (949) 364-2611

400 Newport Center Dr
Ste 609
Newport Beach, CA 92660
Phone (949) 760-0398

1140 W La Veta Ave
Ste 555
Orange, CA 92868
Phone (714) 835-3636

1140 W La Veta Ave
Ste 550
Orange, CA 92868
Phone (714) 835-3636

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: shruti.ariza.p24@direct.monarchhealthcare.nextgenshare.com
  • FHIR API: https://api.platform.athenahealth.com/9170/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484524800000",
    "number": "1962657023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 W LA VETA AVE",
            "address_2": "SUITE 555",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684225",
            "telephone_number": "714-835-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 W LA VETA AVE",
            "address_2": "SUITE 555",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684225",
            "telephone_number": "714-835-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARIZA",
        "first_name": "SHRUTI",
        "middle_name": "MAHINDRAKAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-17",
        "last_updated": "2017-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A121720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.