DR. LEO MENG-TAH SHUM (NPI# 1609061191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609061191 |
| Entity Type | Individual |
| Full Name | DR. LEO MENG-TAH SHUM |
| Credential | M.D |
| Practice Address |
959 E Walnut St Suite 120 Pasadena CA 91106-1451 |
| Practice Telephone | 6267951831 |
| Practice Fax Number | 6267952716 |
| Mailing Telephone | 6267951831 |
| Mailing Fax Number | 6267952716 |
| Enumeration Date | 2007-09-08 |
| Last Update Date | 2017-09-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | MT188668 | PA | Allopathic & Osteopathic Physicians |
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
A121518 | CA | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
A121518 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE GROUP NUMBER | W481 | 01 |
| Street Address |
959 E WALNUT ST SUITE 120 |
| City | PASADENA |
| State | CA |
| Zip Code | 91106-1451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417953175 | Kathleen Jo Lucas | Dentist | 959 E Walnut St, #208, Pasadena, CA 91106-1451 | 2005-06-27 |
| 1356885586 | Brian Adams | Physical Therapist | 959 E Walnut St, Ste #240, Pasadena, CA 91106-1451 | 2016-12-07 |
| 1801248067 | Ryan H Joo, M.d. Inc. | Internal Medicine | 959 E Walnut St, Suite 120, Pasadena, CA 91106-1451 | 2016-07-11 |
| 1952700759 | Elisa Chang Md Inc | Internal Medicine | 959 E Walnut St, Suite 120, Pasadena, CA 91106-1451 | 2014-08-18 |
| 1922432814 | Davin Li | Dentist | 959 E Walnut St, Pasadena, CA 91106-1451 | 2013-08-27 |
| 1689980096 | Jihane Zaza Dit Yafawi | Internal Medicine | 959 E Walnut St, Pasadena, CA 91106-1451 | 2010-08-23 |
| 1639301922 | Ryan Hyun Wook Joo | Internal Medicine | 959 E Walnut St, Suite 120, Pasadena, CA 91106-1451 | 2009-08-20 |
| 1063601045 | Rajiv Philip | Internal Medicine | 959 E Walnut St, Suite 120, Pasadena, CA 91106-1451 | 2007-10-16 |
| 1396935243 | Paul H. Nieberg, M.d. Inc. | Internal Medicine | 959 E Walnut St, Ste 120, Pasadena, CA 91106-1451 | 2007-07-26 |
| 1619097417 | Sleepmed Therapies Inc | Durable Medical Equipment & Medical Supplies | 959 E Walnut St, Ste 125, Pasadena, CA 91106 | 2007-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625987 | Alexa Ann Mettrick | Behavior Technician | 1055 E. Colorado Blcd., Suite 560, Pasadena, CA 91106 | 2020-06-25 |
| 1780205344 | Giovani Telusma | Behavior Technician | 1055 E Colorado Blvd Ste 560 Pasadena, Pasadena, CT 91106 | 2020-05-05 |
| 1356838973 | Susan Ende | Marriage & Family Therapist | 945 Hillcrest Place, Pasadena, CA 91106 | 2018-04-19 |
| 1639678287 | Sean C Velazco | Counselor | 1245 E. Walnut St., Pasadena, CA 91106 | 2018-02-09 |
| 1023558848 | Gregory Ohanian Dds Ms Inc. | Dentist | 225 North Allen Avenue, Pasadena, CA 91106 | 2017-02-27 |
| 1508308586 | Quik Care Express Inc | Non-emergency Medical Transport (VAN) | 592 N. Wilson Ave, 5, Pasadena, CA 91106 | 2016-11-08 |
| 1194119867 | Kimberly Ann Ebner | Dentist | 1060 E. Green St., Suite 105, Pasadena, CA 91106 | 2015-03-20 |
| 1346645512 | Neogenomics Laboratories Inc | Specialist | 840 Cameron Dr, Pasadena, CA 91106 | 2014-10-29 |
| 1255756524 | Tirso Deljunco Sr. | Surgery | 1010 E. Union St., #130, Pasadena, CA 91106 | 2014-02-24 |
| 1386072601 | Hiroko Ogura | Acupuncturist | 1224 E Green St Ste 100, Pasadena, CA 91106 | 2013-10-23 |
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| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 |
|---|---|---|---|---|
| 1790981678 | Earl S. Young, Md, Apc | Internal Medicine | 50 Bellefontaine St Ste 206, Pasadena, CA 91105-3132 | 2007-06-26 |
| 1326083288 | Louis Marc Hamer | Internal Medicine | 5010 Crenshaw, Suite #100, Pasadena, TX 77505 | 2006-06-17 |
| 1639151830 | Earl S. Young | Internal Medicine | 959 E. Walnut St., Suite 120, Pasadena, CA 91106 | 2005-11-15 |
| 1194113803 | Huntington Pulmonary Medical Group | Internal Medicine | 39 Congress St, Suite 201, Pasadena, CA 91105-3024 | 2015-01-05 |
| 1104172063 | Texas Pulmonary and Sleep Clinic, Pa | Internal Medicine | 3301 Plainview St, Suite #8, Pasadena, TX 77504-1929 | 2012-07-30 |
| 1164786893 | Ashish B Patel Md Inc | Internal Medicine | 39 Congress St, Suite 201, Pasadena, CA 91105-3024 | 2012-06-27 |
| 1689980096 | Jihane Zaza Dit Yafawi | Internal Medicine | 959 E Walnut St, Pasadena, CA 91106-1451 | 2010-08-23 |
| 1508050865 | Bahman Saatian | Internal Medicine | 959 E Walnut St Ste 120, 41 Mall Road, Pasadena, CA 91106-5364 | 2007-08-30 |
| 1922204270 | George Michael Nassif | Internal Medicine | 3301 Plainview St, Suite #8, Pasadena, TX 77504-1929 | 2007-06-25 |
| 1801811955 | James Wah Wong | Internal Medicine | 50 Bellefontaine St, 206, Pasadena, CA 91105-3132 | 2006-07-12 |
| Find all providers in PASADENA | ||||
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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.