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SHELLEY BOSE MD
NPI 1114031762
Pediatrics - Neonatal-Perinatal Medicine in Orange, CA

Active since August 19, 2006PECOS Enrolled
101 THE CITY DR S, ORANGE, CA 92868(714) 456-8068(714) 456-3765 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shelley Bose Md NPPES

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

SHELLEY BOSE MD (NPI 1114031762) is an individual neonatal-perinatal medicine provider in Orange, California, licensed in California (A84458) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114031762
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameSHELLEY BOSECredential: MD
Location Address101 THE CITY DR SOrange, CA 92868-3201
Mailing AddressPo Box 54559Los Angeles, CA 90054-0559 · (714) 456-8068 · Fax (714) 456-3765
Phone(714) 456-8068
Fax(714) 456-3765
Sole ProprietorNo
Enumeration DateAugust 19, 2006
Last NPPES UpdateDecember 8, 2021
✔ NPI 1114031762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in CA · A84458
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedPediatricsTaxonomy 208000000X · License A84458 (CA)
101 THE CITY DR S, Orange, CA 92868
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelley Bose Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

DR. ANKIT BHUPENDRA PATEL D.O.
Radiology (Diagnostic Radiology)
101 THE CITY DR S
ORANGE, CA 92868
Orange County (714) 456-5113
DR. LAURA CATHERINE SKOCZYLAS MD
Obstetrics & Gynecology
101 THE CITY DR S, BUILDING 56, DEPARTMENT OF OB/GYN
ORANGE, CA 92868
Orange County (714) 456-8224
MICHAEL CHENG DO
Internal Medicine (Rheumatology)
101 THE CITY DR S
ORANGE, CA 92868
Orange County (714) 456-7110
AESTHETIC AND PLASTIC SURGERY INSTITUTE
Plastic Surgery
101 THE CITY DR S
ORANGE, CA 92868
Orange County (714) 456-2986
JOSEPH VILLARREAL M.D.
Emergency Medicine
101 THE CITY DR S, BUILDING 1A, ROOM 1009
ORANGE, CA 92868
Orange County (714) 456-5239
DEMI TRAN
Psychiatry & Neurology (Neurology)
101 THE CITY DR S, CITY TOWER, SUITE 400
ORANGE, CA 92868
Orange County (171) 456-6693
DR. ISABEL CARLTON CLARK M.D.
Surgery (Trauma Surgery)
101 THE CITY DR S
ORANGE, CA 92868
Orange County (714) 456-7890
DYLAN LUKATO
Emergency Medicine
101 THE CITY DR S
ORANGE, CA 92868
Orange County (415) 218-8041

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 Bose's NPI number?

The NPI number for Shelley Bose is 1114031762. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Where is Shelley Bose located?

Shelley Bose practices at 101 The City Dr S, Orange, CA 92868. The listed phone number is (714) 456-8068.

What is Shelley Bose's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Shelley Bose enrolled in Medicare?

Yes. Shelley Bose is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shelley Bose was last updated on December 8, 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.