Dr Mona Shah Professional Corporation
NPI 1053643171ActiveOrganization· Internal Medicine· San Pedro, CA
Internal Medicine in San Pedro, California, registered in NPPES in February 2010. The authorized official on file is Mona Shah, M.D., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1053643171 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 1, 2010 |
| Last updated in NPPES | Sep 25, 2020 |
| Certified by provider | Sep 25, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | A56119 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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