OrganizationActive
Kenneth Shan MD Inc
NPI 1770430464 · Gastroenterology Physician · Arcadia, CA
Kenneth Shan MD Inc is a Gastroenterology Physician organization in Arcadia, CA (NPI 1770430464).
Provider details
- NPI number
- 1770430464
- Entity type
- Organization
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kenneth Shan, President(818) 659-5887
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
612 W Duarte Rd Ste 601
Arcadia, CA 91007-9240
Phone: (818) 659-5887
Fax: (320) 640-1309
Street-level locationGet directions
Mailing address
612 W Duarte Rd Ste 601
Arcadia, CA 91007-9240
Registry dates
- Enumerated
- 2026-03-12
- Last updated
- 2026-03-12
- Certified
- 2026-03-12
Frequently asked questions
- What is Kenneth Shan MD Inc's NPI number?
- Kenneth Shan MD Inc's National Provider Identifier (NPI) is 1770430464, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kenneth Shan MD Inc?
- Kenneth Shan MD Inc is classified in the NPPES registry as Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Kenneth Shan MD Inc located?
- Kenneth Shan MD Inc's practice location on file with NPPES is 612 W Duarte Rd Ste 601, Arcadia, CA 91007-9240.
- What is Kenneth Shan MD Inc's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Shan MD Inc is (818) 659-5887.
- Who is the authorized official for Kenneth Shan MD Inc?
- The authorized official listed on Kenneth Shan MD Inc's NPPES record is Kenneth Shan, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kenneth Shan MD Inc's NPI active?
- Yes — Kenneth Shan MD Inc's NPI (1770430464) is active in the NPPES registry as of the last update on 2026-03-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.