SHELLEY D. PICKERING MD
NPI 1104997006
Family Medicine in Harbor City, CA
About Shelley D. Pickering Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHELLEY D. PICKERING MD (NPI 1104997006) is an individual family medicine provider in Harbor City, California, licensed in California (A54751) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Medical College Of Wisconsin (1994).
NPPES Registry Identity
Specialties & Licenses
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
Shelley D. Pickering Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Shelley Pickering reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Harbor City, CA 90710
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90710 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
HARBOR CITY, CA 90710
HARBOR CITY, CA 90710
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 Shelley Pickering's NPI number?
The NPI number for Shelley Pickering is 1104997006. It was assigned to this individual provider in the NPPES registry on November 13, 2006.
Where is Shelley Pickering located?
Shelley Pickering practices at 25825 Vermont Ave, Harbor City, CA 90710. The listed phone number is (310) 325-5111.
What is Shelley Pickering's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Shelley Pickering enrolled in Medicare?
Yes. Shelley Pickering 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 organization bills Medicare for Shelley Pickering's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shelley Pickering reassigns Medicare benefits to Southern California Permanente Medical Group (Harbor City, CA). The 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 Shelley Pickering'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 Shelley Pickering was last updated on November 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Shelley D. Pickering, MD · NPI 1104997006
Family Medicine physician in Harbor City, California. Individual provider, active in the CMS NPPES registry since November 13, 2006.
## Identity
- **NPI:** 1104997006 (Entity type: Individual)
- **Enumerated:** November 13, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** A54751 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 25825 VERMONT AVE, Harbor City, CA 90710-3518
- **Phone:** (310) 325-5111
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1598797011, Harbor City, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Medical College Of Wisconsin, class of 1994
## Record status
- **NPPES last updated:** November 30, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1104997006) · Data from the CMS NPPES public registry.