Yaming Shi MD Inc.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

A81918 Issued in CA

Legal business name

YAMING SHI MD INC.

Practice address

21530 Pioneer Blvd
Hawaiian Gardens, CA 90716-2608

Phone

(562) 860-0401

Fax

(562) 809-1310

NPI assigned

Nov 2, 2006

Organization subpart

No

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

Authorized official

Name

Deborah Sigman

Title

Manager

Phone

(949) 588-2190

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Yaming Shi MD INC. Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Yaming Shi, MD

  • Anesthesiology Physician
  • Hawaiian Gardens, CA
  • NPI 1275561284
  Medicare reassignment NPD

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1992884910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 HOLLAND STE 101",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182568",
            "telephone_number": "949-588-2190",
            "fax_number": "949-588-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21530 PIONEER BLVD",
            "city": "HAWAIIAN GARDENS",
            "state": "CA",
            "postal_code": "907162608",
            "telephone_number": "562-860-0401",
            "fax_number": "562-809-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAMING SHI MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "SIGMAN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "949-588-2190"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A81918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A819180",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yaming Shi MD INC.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Cuiyao Wu, ACSW
• Hong-Yuan Yen, D.D.S
• Young Rae Kim, DDS Inc

• Pain Medicine (Anesthesiology) Physician in Hawaiian Gardens, CA
• Providers in Hawaiian Gardens, CA by specialty
• Pain Medicine (Anesthesiology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.