Shane Medical Office a Professional Corporation
NPI 1548309560 · Internal Medicine Physician · Maywood, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shane Medical Office a Professional Corporation is a Internal Medicine Physician organization in Maywood, CA (NPI 1548309560).
Provider details
- NPI number
- 1548309560
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tara Pajoum, Office Manager(323) 773-2020
- License
- A48800 (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
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Other names (DBA / former)
- Doing business as
- Maywood Urgent Care
Registry dates
- Enumerated
- 2007-02-06
- Last updated
- 2013-08-16
Frequently asked questions
- What is Shane Medical Office a Professional Corporation's NPI number?
- Shane Medical Office a Professional Corporation's National Provider Identifier (NPI) is 1548309560, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shane Medical Office a Professional Corporation?
- Shane Medical Office a Professional Corporation is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Shane Medical Office a Professional Corporation located?
- Shane Medical Office a Professional Corporation's practice location on file with NPPES is 4316 E. Slauson Ave, Maywood, CA 90270.
- What is Shane Medical Office a Professional Corporation's phone number?
- The practice phone number listed in the NPPES registry for Shane Medical Office a Professional Corporation is (323) 773-2020.
- Does Shane Medical Office a Professional Corporation accept Medicare?
- Shane Medical Office a 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 Shane Medical Office a Professional Corporation?
- The authorized official listed on Shane Medical Office a Professional Corporation's NPPES record is Tara Pajoum, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shane Medical Office a Professional Corporation's NPI active?
- Yes — Shane Medical Office a Professional Corporation's NPI (1548309560) is active in the NPPES registry as of the last update on 2013-08-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.