MONA S SHAH (NPI# 1609087543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609087543 |
| Entity Type | Individual |
| Full Name | MONA S SHAH |
| Credential | MD |
| Practice Address |
1600 S Gaffey St San Pedro CA 90731-4628 |
| Practice Telephone | 3105480201 |
| Practice Fax Number | 3105484492 |
| Mailing Telephone | 3105480201 |
| Mailing Fax Number | 3105484492 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-09-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | A056119 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1366 W 7th St, San Pedro, CA 907323517 | 3103083623 | 3105473340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528107539 | Mona Shah | Pediatrics | 1401 William Street Se, Albuquerque, NM 87102 | 2007-02-06 |
| 1831799279 | Mona Shah | Pharmacist | 51 Silver Spring St, Providence, RI 02904-2554 | 2020-10-26 |
| 1083098206 | Mona Nandkishor Shah | Psychiatry & Neurology | 201 14th St Sw, Largo, FL 33770 | 2015-07-17 |
| 1588088033 | Mona Shah | Preventive Medicine | 205 Dr M L King St N, St Petersburg, FL 33701-3109 | 2014-02-04 |
| 1316187545 | Mona Shah | Physical Therapist | 554 Blossom Hill Rd, San Jose, CA 95123-3212 | 2009-02-27 |
| 1427208669 | Mona Ameet Shah | Internal Medicine | 8700 Beverly Blvd Rm 5512, West Hollywood, CA 90048-1804 | 2008-09-24 |
| 1750571352 | Mona Shah | Surgery | 3628 E Imperial Hwy, Suite 202, Lynwood, CA 90262-2643 | 2007-07-30 |
| 1669670253 | Mona D Shah | Pediatrics | 6701 Fannin St, Houston, TX 77030-2316 | 2007-07-05 |
| 1598821548 | Mona Rutesh Shah | Dietitian, Registered | 700 Lawrence Expy, Basement, Nutrition Svcs -dept B08, Santa Clara, CA 95051-5173 | 2006-12-27 |
| 1487678470 | Mona Kamal Shah | Emergency Medicine | 3181 Sw Sam Jackson Park Rd, Ohsu Dept of Emergency Medicine Cdw-em, Portland, OR 97239 | 2006-07-26 |
| Street Address |
1600 S GAFFEY ST |
| City | SAN PEDRO |
| State | CA |
| Zip Code | 90731-4628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609850700 | Mirko Andrew Giaconi | Internal Medicine | 1600 S Gaffey St, San Pedro, CA 90731-4628 | 2005-12-01 |
| 1346594363 | Kimberly S. Hua | Physician Assistant | 1600 S Gaffey St, San Pedro, CA 90731-4628 | 2012-10-29 |
| 1053643171 | Dr Mona Shah Professional Corporation | Internal Medicine | 1600 S Gaffey St, San Pedro, CA 90731-4628 | 2010-02-01 |
| 1477710028 | Curtis Alan Foster | Family Medicine | 1600 S Gaffey St, San Pedro, CA 90731-4628 | 2008-05-21 |
| 1922041102 | Valerie Grant | Emergency Medicine | 1600 S Gaffey St, San Pedro, CA 90731-4628 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962009464 | Jyoti Patel | Optometrist | 1701 Gaffey St., San Pedro, CA 90731 | 2020-10-07 |
| 1518513183 | Churairat Maffei | Technician | 1305 S Patton Ave, San Pedro, CA 90731 | 2019-08-09 |
| 1326692898 | Lori Marie Kroeker | Counselor | 235 W. 9th St, San Pedro, CA 90731 | 2019-08-01 |
| 1366960783 | Maria Elena Newcomer Dds Inc | Dentist | 847 W. 9th St., San Pedro, CA 90731 | 2017-09-06 |
| 1255875944 | Raymond J Mazuchowski Jr. | Dentist | 697 S Gaffery St, San Pedro, CA 90731 | 2016-12-14 |
| 1700235108 | Redina J Williams | Counselor | 559 W, 9th Street, San Pedro, CA 90731 | 2016-06-07 |
| 1649697764 | Leilani M. Sharpe | Psychiatry & Neurology | 222 W 6th St Ste 400, San Pedro, CA 90731 | 2014-03-26 |
| 1134418882 | Neema Rukiya Hardeman | Pediatrics | 2400 S Pacific Ave Bldg 30, San Pedro, CA 90731 | 2011-04-04 |
| 1477878148 | Karla Vanesa Cehua | Dental Assistant | 423n. Meyler St., San Pedro, CA 90731 | 2010-04-06 |
| 1023258183 | Deborah Anne Allsup | Acupuncturist | 732 W. 9th Street, #202, San Pedro, CA 90731 | 2009-03-03 |
| Find all providers in zip 90731 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1811183585 | Jeremy Anuntiyo | Internal Medicine | 1360 W 6th St Ste 310, San Pedro, CA 90732-3599 | 2007-09-17 |
| 1528148897 | Nicol Lippman, Md, Inc. | Internal Medicine | 715 S Averill Ave, San Pedro, CA 90732-3813 | 2006-10-17 |
| 1700896909 | Stanley Louis Stock | Internal Medicine | 1428 W 7th St, Suite B, San Pedro, CA 90732-3523 | 2006-08-09 |
| 1154363786 | Nicol Lippman | Internal Medicine | 1094 W. 7th St, San Pedro, CA 90731 | 2006-06-11 |
| 1851377683 | Irina Skokandic | Internal Medicine | 611 W 6th St, San Pedro, CA 90731-2523 | 2005-12-22 |
| 1609850700 | Mirko Andrew Giaconi | Internal Medicine | 1600 S Gaffey St, San Pedro, CA 90731-4628 | 2005-12-01 |
| 1750799771 | Matin R Hemmat | Internal Medicine | 1360 W 6th St, Suite 120 West Building, San Pedro, CA 90732-3514 | 2014-07-23 |
| 1558651000 | Binh Dang | Internal Medicine | 1300 W 7th St, San Pedro, CA 90732-3505 | 2011-04-17 |
| 1053643171 | Dr Mona Shah Professional Corporation | Internal Medicine | 1600 S Gaffey St, San Pedro, CA 90731-4628 | 2010-02-01 |
| 1730316191 | Anand S Patel | Internal Medicine | 1300 W 7th St, San Pedro, CA 90732-3505 | 2009-06-12 |
| Find all providers in SAN PEDRO | ||||
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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.