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

Mr. Shishir K Shah

Individual provider Internal Medicine Physician · NPI 1770680597

Mr. Shishir K Shah is an Internal Medicine in Los Angeles, California. Graduated from Wayne State University School of Medicine in 1993, 33 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
33
Trained at
Wayne State University School of Medicine
Licensed in
CA
In the registry since
2006
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Practice location Address checks out

245 S Fetterly Ave
Los Angeles, CA 90022-1605
Phone: (323) 780-2216
Fax: (323) 264-3771
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence G079814 (CA)

Record details

NPI number1770680597
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 20, 2006
Last updated in NPPESDecember 8, 2021

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1993 (33 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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