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

Wenjing Shi

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1962820217

Wenjing Shi is a Pathology in Modesto, California. Qualified in 1998, 28 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
28
Licensed in
CA
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

4301 N Star Way
Modesto, CA 95356-9262
Phone: (209) 577-1200
Fax: (209) 577-6517
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 8700 Beverly Blvd # Sb-290, West Hollywood, CA 90048-1804 — (310) 423-6623
  • 1111 Amsterdam Ave, New York, NY 10025-1716 — (212) 523-4330

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence A144622 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1962820217
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 3, 2014
Last updated in NPPESNovember 29, 2021
Certification dateApril 7, 2021
Mailing address1111 Amsterdam Ave, New York, NY 10025-1716

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Modesto