Active NPI
Shashank Arya, MD
- Specialist
- Pomona, CA
National Provider Identifier
1992782726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A80526
- Practice address
- 255 E Bonita Avenue
Pomona, CA 91767 - Phone
- (909) 596-7733
- Fax
- (909) 596-7845
- NPI assigned
- Dec 22, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | A80526 | CA | Primary |
Addresses
Primary practice location
255 E Bonita Avenue
Pomona, CA 91767
Mailing address
507 Wexford CT
Saint Charles, IL 60175-5655
Phone (630) 881-0924
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
16890 Green Tree Blvd
Victorville, CA 92395-5618
Phone (760) 245-5361
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A80526 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shashank Arya Medical Professional Corporation | Current | Accepting new patients | |
| Huntington Rehabilitation Medicine Associates | Past | Accepting new patients | |
| Pacific Rim Rehabilitation | Past | Accepting new patients |
Locations
100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445
16890 Green Tree Blvd
Victorville, CA 92395
Phone (310) 273-4843
Organizations & group practices 3
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.
-
- Physical Medicine & Rehabilitation Physician
- Pasadena, CA
- NPI 1699069070
-
- Physical Medicine & Rehabilitation Physician
- Pasadena, CA
- NPI 1437194628
-
- Physical Medicine & Rehabilitation Physician
- Pomona, CA
- NPI 1639349749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454284800000",
"number": "1992782726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "507 WEXFORD CT",
"city": "SAINT CHARLES",
"state": "IL",
"postal_code": "601755655",
"telephone_number": "630-881-0924",
"fax_number": "630-524-9018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 E BONITA AVENUE",
"city": "POMONA",
"state": "CA",
"postal_code": "91767",
"telephone_number": "909-596-7733",
"fax_number": "909-596-7845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARYA",
"first_name": "SHASHANK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-22",
"last_updated": "2016-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "A80526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.