Active NPI
Shelley Taji
- Prosthetic/Orthotic Supplier
- Downey, CA
National Provider Identifier
1992135891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- CO 1573
- Practice address
- 7601 Imperial Hwy
Downey, CA 90242-3456 - Phone
- (562) 401-8115
- Fax
- (562) 803-5569
- NPI assigned
- Nov 14, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | CO 1573 | CA | Primary |
Addresses
Primary practice location
7601 Imperial Hwy
Downey, CA 90242-3456
Mailing address
7601 E. Imperial Hwy 900 Annex a
Downey, CA 90242-3456
Phone (562) 401-8115
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CO 1573 | CA | MD | Prosthetic/Orthotic Supplier |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rancho Research Institute | Prosthetic/Orthotic Supplier | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Prosthetic/Orthotic Supplier
- Downey, CA
- NPI 1912046012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384387200000",
"number": "1992135891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7601 E. IMPERIAL HWY 900 ANNEX A",
"city": "DOWNEY",
"state": "CA",
"postal_code": "902423456",
"telephone_number": "562-401-8115",
"fax_number": "562-803-5569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7601 IMPERIAL HWY",
"city": "DOWNEY",
"state": "CA",
"postal_code": "902423456",
"telephone_number": "562-401-8115",
"fax_number": "562-803-5569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAJI",
"first_name": "SHELLEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-14",
"last_updated": "2013-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "CA",
"license": "CO 1573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Downey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.