DR. MICHAEL SHAOYI FANG (NPI# 1154338580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154338580 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL SHAOYI FANG |
| Other Name | SHAOYI FANG |
| Credential | M.D. |
| Practice Address |
11480 Brookshire Ave Ste 302 Downey CA 90241-5024 |
| Mailing Address |
3129 S Hacienda Blvd Ste 159 Hacienda Heights CA 91745-6304 |
| Practice Telephone | 6263372265 |
| Practice Fax Number | 6263376625 |
| Mailing Telephone | 6262623317 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2018-10-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
222907 | NY | Allopathic & Osteopathic Physicians |
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
A88548 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A885480 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619064672 | Michael Fang | Internal Medicine | 8733 W 400 N, Michigan City, IN 46360-9330 | 2006-10-09 |
| Street Address |
11480 BROOKSHIRE AVE STE 302 |
| City | DOWNEY |
| State | CA |
| Zip Code | 90241-5024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881683944 | David Berger | Internal Medicine | 11480 Brookshire Ave, #110, Downey, CA 90241-5010 | 2005-10-20 |
| 1992172696 | Thuy Thi Ngoc Dang | Physician Assistant | 11480 Brookshire Ave, 309, Downey, CA 90241-5018 | 2015-08-28 |
| 1528481421 | Eriko Nakajima | Physician Assistant | 11480 Brookshire Ave, Suite 309, Downey, CA 90241-5018 | 2014-01-28 |
| 1912241019 | David Berger Md Inc. | Internal Medicine | 11480 Brookshire Ave, Suite 110, Downey, CA 90241-5018 | 2012-11-15 |
| 1215281787 | Neil E Klein Md A Medical Corporation | Surgery | 11480 Brookshire Ave, Suite 306, Downey, CA 90241-5024 | 2012-11-05 |
| 1790044691 | Ran Zhu | Pediatrics | 11480 Brookshire Ave, Downey, CA 90241-5018 | 2012-05-11 |
| 1811261084 | Anais Danielle Lane | Nurse Practitioner | 11480 Brookshire Ave, Suite 309, Downey, CA 90241-5025 | 2012-03-05 |
| 1174802698 | Lauren Rae Gillan | Physician Assistant | 11480 Brookshire Ave, Suite 309, Downey, CA 90241-5018 | 2011-08-15 |
| 1750689378 | Hooman Parsi | Internal Medicine | 11480 Brookshire Ave, Suite 309, Downey, CA 90241-5025 | 2011-03-06 |
| 1134421480 | The Oncology Institute of Hope and Innovation | Internal Medicine | 11480 Brookshire Ave, Suite 309, Downey, CA 90241-5018 | 2010-11-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029005 | Adam Lyle Barnhardt | Counselor | 11500 Paramont Blvd., Downey, CA 90241 | 2020-10-05 |
| 1922630482 | Betzabeth Benitez Perez | Counselor | Scadp, 11500 Paramount Blvd., Downey, CA 90241 | 2020-02-12 |
| 1457858714 | Diane Padre-gozun | Student in an Organized Health Care Education/Training Program | 11500 Brookshire Ave, Gme Office, Downey, CA 90241 | 2018-04-12 |
| 1295233963 | Community Family Guidance Center | Community/Behavioral Health | 12330 Woodruff Ave, Downey, CA 90241 | 2018-01-29 |
| 1487167433 | Progressive Medical Associates | Health Maintenance Organization | 6611 Seville Avenue, Huntington Park, CA 90241 | 2017-11-13 |
| 1194236018 | Dental Office of Downey Inc. | Clinic/Center | 10917 Paramounth Blvd, Downey, CA 90241 | 2017-10-18 |
| 1376063933 | Sophea Tim | Pharmacist | 11525 Brookshire Avenue Suite 400, Downey, CA 90241 | 2017-06-26 |
| 1952835282 | Dr. Jose Flores D.d.s Inc. | Preferred Provider Organization | 11510 Downey Ave, Downey, CA 90241 | 2017-04-13 |
| 1053844043 | Stephen Nealon Berberich | Internal Medicine | 1544 Downey Ave, Downey, CA 90241 | 2017-04-06 |
| 1225424187 | Davis Huang | Internal Medicine | 11500 Brookshire Ave., Downey, CA 90241 | 2015-04-07 |
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| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992838429 | Southland Renal Medical Group, Inc | Internal Medicine | 11480 Brookshire Ave, Suite 110, Downey, CA 90241 | 2007-03-13 |
| 1023119153 | Shahrouz Homayounpour | Internal Medicine | 7601 Imperial Hwy, Downey, CA 90242-3456 | 2006-09-25 |
| 1013027325 | Betzabe M Alday | Internal Medicine | 7601 Imperial Hwy, Downey, CA 90242-3456 | 2006-08-30 |
| 1851339048 | John K Shaib | Internal Medicine | 9040 Telegraph Rd, Site 100, Downey, CA 90240-2393 | 2006-06-02 |
| 1457308223 | John Shaib, M.d., Inc. | Internal Medicine | 9040 Telegraph Rd Ste 100, Attention: Maggie Noles Ms 6160, Downey, CA 90240-2395 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585328 | Empire Medical Specialist | Internal Medicine | 28625 Quaint St, Agoura Hills, CA 91301-1735 | 2020-10-15 |
| 1538774989 | Modern Telehealth | Internal Medicine | 1509 Espinosa Cir, Palos Verdes Estates, CA 90274-1917 | 2020-09-12 |
| 1073137733 | Jafar Alsaid | Internal Medicine | 2009 Baywood Ln, Davis, CA 95618-0500 | 2020-05-29 |
| 1164041422 | Advanced Care Multispecialty Medical Group Apc | Internal Medicine | 13990 Bear Fence Court, Moorpark, CA 93021-5022 | 2020-04-15 |
| 1629600416 | Valley Kidney Medical Group Inc | Internal Medicine | 1646 E Herndon Ave Ste 106, Fresno, CA 93720-3380 | 2020-02-10 |
| 1437789278 | Spectrum Dialysis | Internal Medicine | 18040 Sherman Way Ste 220, Reseda, CA 91335-4631 | 2020-01-21 |
| 1932745007 | K Care Ipa | Internal Medicine | 18000 Studebaker Rd Ste 100, Cerritos, CA 90703-7929 | 2019-11-22 |
| 1326609496 | Alliance Hospitalist Medical Corporation | Internal Medicine | 3300 E South St Ste 307, Lakewood, CA 90805 | 2019-06-27 |
| 1669930723 | Adventist Health Physicians Network | Internal Medicine | 111 Raley Blvd Ste 160, Chico, CA 95928-8351 | 2019-03-07 |
| 1295293363 | Adventist Health Physicians Network | Internal Medicine | 111 Raley Blvd Ste 220, Chico, CA 95928-8351 | 2019-03-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.