Shady Canyon Medical Group
NPI 1922245349 · Family Medicine Physician · Irvine, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shady Canyon Medical Group is a Family Medicine Physician organization in Irvine, CA (NPI 1922245349).
Provider details
- NPI number
- 1922245349
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Albert Chang, Md/Owner(949) 585-9870
- License
- A77997 (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
17 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
Registry dates
- Enumerated
- 2009-01-08
- Last updated
- 2025-12-18
- Certified
- 2025-12-18
Frequently asked questions
- What is Shady Canyon Medical Group's NPI number?
- Shady Canyon Medical Group's National Provider Identifier (NPI) is 1922245349, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shady Canyon Medical Group?
- Shady Canyon Medical Group is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Shady Canyon Medical Group located?
- Shady Canyon Medical Group's practice location on file with NPPES is 15825 Laguna Canyon Rd Ste 104, Irvine, CA 92618-2126.
- What is Shady Canyon Medical Group's phone number?
- The practice phone number listed in the NPPES registry for Shady Canyon Medical Group is (949) 585-9870.
- Does Shady Canyon Medical Group accept Medicare?
- Shady Canyon Medical Group 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 Shady Canyon Medical Group?
- The authorized official listed on Shady Canyon Medical Group's NPPES record is Albert Chang, Md/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shady Canyon Medical Group's NPI active?
- Yes — Shady Canyon Medical Group's NPI (1922245349) is active in the NPPES registry as of the last update on 2025-12-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.