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ARCHANA SHENDE M D INC
NPI 1053515825
Internal Medicine in Anaheim, CA

Active since June 13, 2007CLIA 05D0967783 · Waiver
1211 W LA PALMA AVE, 309, ANAHEIM, CA 92801(714) 999-1050 Get Directions Write a Review

NPPES record last updated: April 27, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Archana Shende M D Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ARCHANA SHENDE M D INC (NPI 1053515825) is a healthcare organization registered as an internal medicine in Anaheim, California and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through October 4, 2027 and lists Archana C Shende, Ceo, as its authorized official.

NPPES Registry Identity

NPI1053515825
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameARCHANA SHENDE M D INC
Location Address1211 W LA PALMA AVE, 309Anaheim, CA 92801-2815
Mailing Address1211 W La Palma Ave, 309Anaheim, CA 92801-2815 · (714) 999-1050
Phone(714) 999-1050
Organization SubpartNo
Authorized OfficialArchana C ShendeCeo · (714) 999-1050
Enumeration DateJune 13, 2007
Last NPPES UpdateApril 27, 2010
✔ NPI 1053515825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A50235
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1211 W LA PALMA AVE, Anaheim, CA 92801
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Other Identifiers 1

Medicare ID-Type UnspecifiedW15992CA · Medicare Group Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Archana Shende M D Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Archana Shende M D Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Archana Shende, M D
Family Practice
NPI 1043255938
1211 W LA PALMA AVE SUITE 309
Anaheim, CA 92801
(714) 999-1050
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0967783

Archana Shende, MD · Anaheim, CA
Active · expires Oct 4, 2027
CLIA Number05D0967783
Laboratory TypePhysician Office
Certificate Effective DateOctober 5, 2025
Certificate Expiration DateOctober 4, 2027
Laboratory DirectorArchana C. Shende MD
Laboratory Phone(714) 999-1050
Laboratory LocationArchana Shende, MD1211 West La Palma Avenue, #309, Anaheim, CA 92801
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Archana Shende M D Inc's NPI number?

The NPI number for Archana Shende M D Inc is 1053515825. It was assigned to this organization in the NPPES registry on June 13, 2007.

Where is Archana Shende M D Inc located?

Archana Shende M D Inc is located at 1211 W La Palma Ave 309, Anaheim, CA 92801. The listed phone number is (714) 999-1050.

What is Archana Shende M D Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Archana Shende M D Inc enrolled in Medicare?

Yes. Archana Shende M D Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Archana Shende M D Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Archana Shende M D Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Archana Shende M D Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0967783) is associated with this NPI, valid through October 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Archana Shende M D Inc was last updated on April 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.