Dr Mona Shah Professional Corporation
NPI 1053643171 · Internal Medicine Physician · San Pedro, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dr Mona Shah Professional Corporation is a Internal Medicine Physician organization in San Pedro, CA (NPI 1053643171).
Provider details
- NPI number
- 1053643171
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mona Shah, Owner(310) 548-0201
- License
- A56119 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1366 W 7th StSan Pedro, CA 90732-3517Phone: (310) 833-2461Fax: (310) 833-6342
Registry dates
- Enumerated
- 2010-02-01
- Last updated
- 2020-09-25
- Certified
- 2020-09-25
Frequently asked questions
- What is Dr Mona Shah Professional Corporation's NPI number?
- Dr Mona Shah Professional Corporation's National Provider Identifier (NPI) is 1053643171, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dr Mona Shah Professional Corporation?
- Dr Mona Shah Professional Corporation is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Dr Mona Shah Professional Corporation located?
- Dr Mona Shah Professional Corporation's practice location on file with NPPES is 1600 S Gaffey St, San Pedro, CA 90731-4628.
- What is Dr Mona Shah Professional Corporation's phone number?
- The practice phone number listed in the NPPES registry for Dr Mona Shah Professional Corporation is (310) 548-0201.
- Does Dr Mona Shah Professional Corporation accept Medicare?
- Dr Mona Shah Professional Corporation is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Dr Mona Shah Professional Corporation?
- The authorized official listed on Dr Mona Shah Professional Corporation's NPPES record is Mona Shah, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dr Mona Shah Professional Corporation's NPI active?
- Yes — Dr Mona Shah Professional Corporation's NPI (1053643171) is active in the NPPES registry as of the last update on 2020-09-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.