RONGZI SHAN MD
NPI 1063049922
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

NPI Status: Active since March 23, 2020

Contact Information

127 S SAN VICENTE BLVD
PAVILION BUILDING, SUITE A3100
LOS ANGELES, CA
ZIP 90048
Phone: (800) 233-2771

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  • Individual
  • Female
  • Student in an Organized Health Care Educ...
  • PECOS Enrolled

About RONGZI SHAN

This page provides the complete NPI Profile along with additional information for Rongzi Shan, a primary care provider established in Los Angeles, California with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1063049922 assigned on March 2020. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1063049922
Provider Name
RONGZI SHAN MD
Gender
Female
Entity Type
Individual
Location Address
127 S SAN VICENTE BLVD PAVILION BUILDING, SUITE A3100 LOS ANGELES, CA 90048
Location Phone
(800) 233-2771
Mailing Address
127 S SAN VICENTE BLVD PAVILION BUILDING, SUITE A3100 LOS ANGELES, CA 90048
Mailing Phone
(800) 233-2771
Is Sole Proprietor?
No
Enumeration Date
03-23-2020
Last Update Date
06-29-2023
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A primary care provider (PCP) like Rongzi Shan sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
Taxonomy Description
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Medicare Participation & PECOS Enrollment Status

Rongzi Shan is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1063049922
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20123041894
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 0 + 4 + 1 + 8 + 9 + 4 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1063049922 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1861811788MISS ANNE JANETTE GARDUCE DELA CRUZ NP
Individual
Nurse Practitioner (Acute Care)127 S SAN VICENTE BLVD A-3600
LOS ANGELES, CA 90048
(310) 423-1735
1154590024 RACHEL E BYWALEC NP
Individual
Nurse Practitioner (Acute Care)127 S SAN VICENTE BLVD SUITE A3600
LOS ANGELES, CA 90048
(310) 423-3851
1194702159DR. FRANCISCO A ARABIA M.D.
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)127 S SAN VICENTE BLVD SUITE A3100
LOS ANGELES, CA 90048
(310) 423-2831
1972058451 IRINA VAYNTER PHARM.D
Individual
Pharmacist127 S SAN VICENTE BLVD 2400
LOS ANGELES, CA 90048
(310) 423-1400
1245785781 NHU NGUYEN
Individual
Pharmacist127 S SAN VICENTE BLVD A2400
LOS ANGELES, CA 90048
(310) 423-1400
1538615778 KATIE DUNG TRAN NP
Individual
Nurse Practitioner127 S SAN VICENTE BLVD A3100
LOS ANGELES, CA 90048
(310) 423-3522
1457808842 ERIC NORMAN CHIU PHARMD
Individual
Pharmacist127 S SAN VICENTE BLVD SUITE A2400
LOS ANGELES, CA 90048
(310) 423-1400
1730637729DR. AINSLIE CHEUNG PHARMD
Individual
Pharmacist127 S SAN VICENTE BLVD SUITE 2403
LOS ANGELES, CA 90048
(424) 315-4400
1306141106DR. MYRIAM E. ALMEIDA-JONES MD
Individual
Pediatrics (Pediatric Cardiology)127 S SAN VICENTE BLVD SUITE A3600
LOS ANGELES, CA 90048
(310) 423-1153
1164966255MISS PAMELA SHIEH PHARM.D.
Individual
Pharmacist127 S SAN VICENTE BLVD SUITE A2403
LOS ANGELES, CA 90048
(310) 423-1440
1275818890DR. NAZELI ALICE BAIRAMIAN PHARM. D
Individual
Pharmacist127 S SAN VICENTE BLVD
LOS ANGELES, CA 90048
(310) 423-3277
1851887566 INIGO ERNESTO NORIEGA MSN, FNP-BC, RN, PHN
Individual
Nurse Practitioner (Family)127 S SAN VICENTE BLVD
LOS ANGELES, CA 90048
(424) 315-2311
1679945638DR. SABAH SKAF M.D
Individual
Internal Medicine (Cardiovascular Disease)127 S SAN VICENTE BLVD
LOS ANGELES, CA 90048
(310) 423-2726
1700174851DR. SHOURI LAHIRI M.D.
Individual
Psychiatry & Neurology (Neurocritical Care)127 S SAN VICENTE BLVD SUITE A6600
LOS ANGELES, CA 90048
(310) 423-0686
1336754746DR. JUDY LUU MD
Individual
Specialist127 S SAN VICENTE BLVD
LOS ANGELES, CA 90048
(310) 423-9224
1619642634 ALYSSA ANN MASKELL AGPCNP-BC
Individual
Nurse Practitioner (Gerontology)127 S SAN VICENTE BLVD
LOS ANGELES, CA 90048
(310) 423-1160
1689768160MS. PAIGE M WOODWARD NP
Individual
Nurse Practitioner (Adult Health)127 S SAN VICENTE BLVD
LOS ANGELES, CA 90048
(310) 423-4472
1548982028 MICHELLE CHIOMA KALU PHARMD
Individual
Pharmacist127 S SAN VICENTE BLVD
LOS ANGELES, CA 90048
(310) 423-1400
1629792304 ERIKA D PARK NP
Individual
Nurse Practitioner (Family)127 S SAN VICENTE BLVD
LOS ANGELES, CA 90048
(310) 423-3977
1760023360 ISAAC G HEESEN APRN-RX
Individual
127 S SAN VICENTE BLVD
LOS ANGELES, CA 90048
(310) 423-3851

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063049922, enumerated in the NPI registry as an "individual" on March 23, 2020

The provider is located at 127 S San Vicente Blvd Pavilion Building, Suite A3100 Los Angeles, Ca 90048 and the phone number is (800) 233-2771

The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

This NPI record was last updated on March 23, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.