Elaine Shan, M.D.
NPI 1053767434 · Pediatrics Physician · Sacramento, CA
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Elaine Shan, M.D. is a Pediatrics Physician provider in Sacramento, CA (NPI 1053767434).
Provider details
- NPI number
- 1053767434
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 58623 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 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 (2)
- 155 Calle Portal Ste 700Sierra Vista, AZ 85635Phone: (520) 459-0203
- 1501 N Campbell Ave Rm 3301Tucson, AZ 85724-0001Phone: (520) 626-7944Fax: (520) 626-5652
Registry dates
- Enumerated
- 2016-05-04
- Last updated
- 2020-06-12
- Certified
- 2020-06-12
Frequently asked questions
- What is Elaine Shan's NPI number?
- Elaine Shan's National Provider Identifier (NPI) is 1053767434, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Elaine Shan's specialty?
- Elaine Shan is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Elaine Shan located?
- Elaine Shan's practice location on file with NPPES is 3234 Marysville Blvd, Sacramento, CA 95815-1411.
- What is Elaine Shan's phone number?
- The practice phone number listed in the NPPES registry for Elaine Shan is (918) 407-2495.
- Does Elaine Shan accept Medicare?
- Elaine Shan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Elaine Shan's NPI active?
- Yes — Elaine Shan's NPI (1053767434) is active in the NPPES registry as of the last update on 2020-06-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.