SIQI SHAO NP
NPI 1174415475
Nurse Practitioner - Psychiatric/Mental Health in Long Beach, CA

Q: What is Siqi Shao's NPI number?

The NPI number for Siqi Shao is 1174415475. It was assigned to this individual provider in the NPPES registry on July 21, 2025.

Q: What is Siqi Shao's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Siqi Shao was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.

Active since July 21, 2025PECOS Enrolled

11 GOLDEN SHR STE 350, LONG BEACH, CA 90802(888) 588-8995 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: October 11, 2026.

On this page

About Siqi Shao Np NPPES

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

SIQI SHAO NP (NPI 1174415475) is an individual psychiatric/mental health provider in Long Beach, California, licensed in California (95036223) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and maintains a secondary practice location in Covina.

NPPES Registry Identity

NPI1174415475

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameSIQI SHAOCredential: NP

Location Address11 GOLDEN SHR STE 350Long Beach, CA 90802-4279

Mailing Address327 Strike DrCovina, CA 91722-4196 · (626) 818-1876

Phone(888) 588-8995

Sole ProprietorYes

Enumeration DateJuly 21, 2025

Last NPPES UpdateAugust 11, 2025

NPPES CertifiedJuly 22, 2025

✔ NPI 1174415475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · 95036223

11 GOLDEN SHR STE 350, Long Beach, CA 90802

Open in Google Maps ↗

Secondary Practice Location 1

Location 1327 Strike DrCovina, CA 91722-4196 · Phone (626) 818-1876

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Siqi Shao Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90802 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

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

MARY KAYE TABOADA

Marriage & Family Therapist