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

Mirko Andrew Giaconi, MD

Individual provider Internal Medicine Physician · NPI 1609850700

Mirko Andrew Giaconi, MD is a Cardiovascular Disease (Cardiology) in San Pedro, California. Qualified in 1968, 58 years ago. Practices with Dr Mona Shah Professional Corporation, a 12-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
58
Licensed in
CA
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1600 S Gaffey St
San Pedro, CA 90731-4628
Phone: (310) 548-0201
Fax: (310) 548-4492
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1366 W 7th St, San Pedro, CA 90732-3517 — (310) 833-2461

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence A25678 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence A25678 (CA)

Record details

NPI number1609850700
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 1, 2005
Last updated in NPPESSeptember 25, 2020
Certification dateSeptember 25, 2020

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1968 (58 years in practice)
Group practice Dr Mona Shah Professional Corporation — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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