Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael Shen

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1366806291

Michael Shen is a Podiatry in Lakewood, California. Graduated from Temple University School of Podiatric Medicine in 2019, 7 years ago. Practices with Providence Podiatry Care Inc, a 5-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Trained at
Temple University School of Podiatric Medicine
Licensed in
CA
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

5445 Del Amo Blvd
Lakewood, CA 90712-2760
Phone: (562) 866-4046
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence E5506 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1366806291
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 6, 2016
Last updated in NPPESJuly 19, 2025
Certification dateJuly 19, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolTEMPLE UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduated 2019 (7 years in practice)
Group practice Providence Podiatry Care Inc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Lakewood