Mona S Shah (NPI# 1609087543, PAC ID# 3678531902) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1609087543 |
| PAC ID by PECOS | 3678531902 |
| Professional Enrollment ID | I20050103000603 |
| Full Name | Mona S Shah |
| Organization Legal Name | DR MONA SHAH PROFESSIONAL CORPORATION |
| Address |
1294 W 6th St Suite 205 San Pedro CA 90731-2993 |
| Phone Number | 3105480201 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1990 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 2062548084 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050078 | PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO |
| 050353 | PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE |
| Address | Phone | Organization |
|---|---|---|
| 1294 W 6th St, Suite 205, San Pedro, CA 90731-2993 | 3105480201 | DR MONA SHAH PROFESSIONAL CORPORATION |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_048_overall | Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | DR MONA SHAH PROFESSIONAL CORPORATION |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mirko A Giaconi | Cardiovascular Disease (cardiology) | Dr Mona Shah Professional Corporation | 1600 S Gaffey St, San Pedro, CA 90731-4628 |
| Curtis Foster | Family Medicine | Dr Mona Shah Professional Corporation | 1294 W 6th St, Suite 205, San Pedro, CA 90731-2993 |
| Peter Dan Sliskovich | Family Medicine | Dr Mona Shah Professional Corporation | 1600 S Gaffey St, San Pedro, CA 90731-4628 |
| Valerie Grant | General Practice | Dr Mona Shah Professional Corporation | 1600 S Gaffey St, San Pedro, CA 90731-4628 |
| Kimberly S Hua | Physician Assistant | Dr Mona Shah Professional Corporation | 1294 W 6th St, Suite 205, San Pedro, CA 90731-2993 |
| Street Address |
1294 W 6TH ST SUITE 205 |
| City | SAN PEDRO |
| State | CA |
| Zip | 90731-2993 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Krupa A Shah | Family Medicine | 1294 W 6th St, Suite 204, San Pedro, CA 90731-2998 | |
| Graham Gage | Physical Therapy | Harbor Physical Therapy and Sports Medicine | 1294 W 6th St, Suite 101, San Pedro, CA 90731-2997 |
| Tara C Obrien | Physical Therapy | Harbor Physical Therapy and Sports Medicine | 1294 W 6th St, Suite 101, San Pedro, CA 90731-2997 |
| Michael T Odonnell | Physical Therapy | Harbor Physical Therapy and Sports Medicine | 1294 W 6th St, Suite 101, San Pedro, CA 90731-2997 |
| Curtis Foster | Family Medicine | Dr Mona Shah Professional Corporation | 1294 W 6th St, Suite 205, San Pedro, CA 90731-2993 |
| Kathryn Denise Ayoob | Physical Therapy | Harbor Physical Therapy and Sports Medicine | 1294 W 6th St, Suite 101, San Pedro, CA 90731-2997 |
| Jonathan Yang | Physical Therapy | Harbor Physical Therapy and Sports Medicine | 1294 W 6th St, Suite 101, San Pedro, CA 90731-2997 |
| Parag Mehta | Neurology | 1294 W 6th St, Suite 105, San Pedro, CA 90731-2997 | |
| Allan M Delman | Orthopedic Surgery | 1294 W 6th St, Suite 210, San Pedro, CA 90731-2998 | |
| Kimberly S Hua | Physician Assistant | Dr Mona Shah Professional Corporation | 1294 W 6th St, Suite 205, San Pedro, CA 90731-2993 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charlotte P Gilmore | Chiropractic | 1861 N Gaffey St G, San Pedro, CA 90731-1259 | |
| Gerard Donayre | Physical Therapy | 1921 N Gaffey St I, San Pedro, CA 90731-1264 | |
| Yvonne B Marinkovich | Chiropractic | 1851 N Gaffey St B, San Pedro, CA 90731-1271 | |
| Stuart M Shaffer | Psychologist, Clinical | 753 W Basin St, San Pedro, CA 90731-1301 | |
| Cheryl J Hanks | Physical Therapy | Excel Physical Therapy Associates Inc. | 301 S Bandini St, San Pedro, CA 90731-2324 |
| Tanya Diaz | Psychologist, Clinical | Harbor Community Clinic Inc | 593 W 6th St, San Pedro, CA 90731-2521 |
| Michael Obrien Jr | Optometry | 575 W 6th St, San Pedro, CA 90731-2521 | |
| Joseph Ford | Internal Medicine | Harbor Community Clinic Inc | 593 W 6th St, San Pedro, CA 90731-2521 |
| Josephine M Borromeo | Nurse Practitioner | Harbor Community Clinic Inc | 593 W 6th St, San Pedro, CA 90731-2521 |
| Jennifer Chen | Nurse Practitioner | Harbor Community Clinic Inc | 593 W 6th St, San Pedro, CA 90731-2521 |
| Find all physicians in zip 90731 | |||
| City | SAN PEDRO |
| Zip Code | 90731 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SAN PEDRO + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Mona S Shah.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.