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QIAOYUN SHI MD, PHD
NPI 1083158075
Psychiatry & Neurology - Child & Adolescent Psychiatry in El Monte, CA

Active since December 09, 2016PECOS EnrolledAccepts Medicare Assignment
9864 BALDWIN PL, EL MONTE, CA 91731(626) 433-1311 Get Directions Write a Review

NPPES record last updated: November 7, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Qiaoyun Shi Md, Phd NPPES

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

QIAOYUN SHI MD, PHD (NPI 1083158075) is an individual child & adolescent psychiatry provider in El Monte, California, licensed in California (163297) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1083158075
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameQIAOYUN SHICredential: MD, PHD
Location Address9864 BALDWIN PLEl Monte, CA 91731-2202
Mailing Address9864 Baldwin PlEl Monte, CA 91731-2202 · (626) 433-1311
Phone(626) 433-1311
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateDecember 9, 2016
Last NPPES UpdateNovember 7, 2024
NPPES CertifiedNovember 7, 2024
✔ NPI 1083158075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in CA · 163297
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 008961 (GA)
9864 BALDWIN PL, El Monte, CA 91731
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Qiaoyun Shi Md, Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294153540
PECOS Enrollment IDI20200917002635
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Qiaoyun Shi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pacific Clinics
0.9 mi
Community/Behavioral Health
3569 LEXINGTON AVE
El Monte, CA 91731
  • Reassigned Medicare billing, California enrollment
  • 156 clinicians in this Medicare group
NPI 1518624030 (626) 453-3399
Permanente Medical Group Inc
316 mi
Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1073606299 (408) 851-1000

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IRENE TORRES
Rehabilitation Practitioner
9864 BALDWIN PL
EL MONTE, CA 91731
Los Angeles County (626) 433-1311
TERRI YANCEY
Rehabilitation Practitioner
9864 BALDWIN PL
EL MONTE, CA 91731
Los Angeles County (626) 433-1311
MARY DELORES GUTIERREZ-GAUCIN LPT
Licensed Psychiatric Technician
9864 BALDWIN PL
EL MONTE, CA 91731
Los Angeles County (626) 433-1311
PACIFIC CLINICS
Case Management
9864 BALDWIN PL
EL MONTE, CA 91731
Los Angeles County (626) 433-1311
ALEXYS NICOLE ORTIZ
Rehabilitation Practitioner
9864 BALDWIN PL
EL MONTE, CA 91731
Los Angeles County (626) 433-1311
GUADALUPE VASQUEZ GARFIAS
Social Worker (Clinical)
9864 BALDWIN PL
EL MONTE, CA 91731
Los Angeles County (626) 348-3294
ROBERT LIN
Rehabilitation Practitioner
9864 BALDWIN PL
EL MONTE, CA 91731
Los Angeles County (626) 433-1311
BRIGITTE IBARRA
Rehabilitation Practitioner
9864 BALDWIN PL
EL MONTE, CA 91731
Los Angeles County (626) 433-1311

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 Qiaoyun Shi's NPI number?

The NPI number for Qiaoyun Shi is 1083158075. It was assigned to this individual provider in the NPPES registry on December 9, 2016.

Where is Qiaoyun Shi located?

Qiaoyun Shi practices at 9864 Baldwin Pl, El Monte, CA 91731. The listed phone number is (626) 433-1311.

What is Qiaoyun Shi's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Qiaoyun Shi enrolled in Medicare?

Yes. Qiaoyun Shi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Qiaoyun Shi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Qiaoyun Shi reassigns Medicare benefits to 2 organizations: Pacific Clinics (El Monte, CA) and Permanente Medical Group Inc (Santa Clara, CA). Each 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 Qiaoyun Shi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Qiaoyun Shi was last updated on November 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.