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SHOBA RAO M.D.
NPI 1336301258
Pediatrics in San Dimas, CA

Active since July 01, 2008PECOS Enrolled
1305 W ARROW HWY STE 104, SAN DIMAS, CA 91773(909) 394-9004 Get Directions Write a Review

NPPES record last updated: February 2, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shoba Rao M.d. NPPES

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

SHOBA RAO M.D. (NPI 1336301258) is an individual pediatrics provider in San Dimas, California, licensed in California (A116046) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1336301258
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSHOBA RAOCredential: M.D.
Location Address1305 W ARROW HWY STE 104San Dimas, CA 91773-2337
Mailing Address801 S Chevy Chase Dr, #20Glendale, CA 91205-4431 · (818) 637-7980 · Fax (818) 637-7985
Phone(909) 394-9004
Sole ProprietorNo
Enumeration DateJuly 1, 2008
Last NPPES UpdateFebruary 2, 2024
NPPES CertifiedFebruary 2, 2024
✔ NPI 1336301258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A116046
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1305 W ARROW HWY STE 104, San Dimas, CA 91773
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Secondary Practice Locations 3

Location 11135 S Sunset Ave Ste 401West Covina, CA 91790-3921 · Phone (626) 732-8391
Location 2801 S Chevy Chase Dr, #200Glendale, CA 91205-4431 · Phone (818) 637-7980 · Fax (818) 637-7985
Location 3203 W Badillo StCovina, CA 91723-1907 · Phone (626) 732-8350

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shoba Rao M.d. 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.

Medicare Billing Reassignments

4

Medicare enrollment records show Shoba Rao reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emanate Health Medical Care Foundation
7.2 mi
Multi-Specialty
1135 S SUNSET AVE STE 401
West Covina, CA 91790
  • Reassigned Medicare billing, California enrollment
  • 114 clinicians in this Medicare group
NPI 1467195073 (626) 732-0394
Intercommunity Emergency Medical Group
16 mi
Emergency Medicine
12401 WASHINGTON BLVD
Whittier, CA 90602
  • Reassigned Medicare billing, California enrollment
  • 121 clinicians in this Medicare group
NPI 1871535286 (562) 698-0811
Emergency Medicine Specialists Of Orange County
22 mi
Emergency Medicine
1100 WEST STEWART DR
Orange, CA 92868
  • Reassigned Medicare billing, California enrollment
  • 97 clinicians in this Medicare group
NPI 1740214733 (714) 633-9111
Children's Hospital Los Angeles Medical Group, Inc.
26 mi
Multi-Specialty
4650 SUNSET BLVD
Los Angeles, CA 90027
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Childrens Hospital Los Angeles Medical Group Inc
  • 1,281 clinicians in this Medicare group
NPI 1265530653 (323) 361-2337

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 91773 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 2

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

KANAN MODI MD INC
Pediatrics
1305 W ARROW HWY STE 104
SAN DIMAS, CA 91773
Los Angeles County (909) 394-9004
DR. KANAN MODI M.D.
Pediatrics
1305 W ARROW HWY STE 104
SAN DIMAS, CA 91773
Los Angeles County (909) 967-7826

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 Shoba Rao's NPI number?

The NPI number for Shoba Rao is 1336301258. It was assigned to this individual provider in the NPPES registry on July 1, 2008.

Where is Shoba Rao located?

Shoba Rao practices at 1305 W Arrow Hwy Ste 104, San Dimas, CA 91773. The listed phone number is (909) 394-9004.

What is Shoba Rao's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Shoba Rao enrolled in Medicare?

Yes. Shoba Rao is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shoba Rao's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shoba Rao reassigns Medicare benefits to 4 organizations: Emanate Health Medical Care Foundation (West Covina, CA), Intercommunity Emergency Medical Group (Whittier, CA), Emergency Medicine Specialists Of Orange County (Orange, CA) and Children's Hospital Los Angeles Medical Group, Inc. (Los Angeles, 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 Shoba Rao'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 Shoba Rao was last updated on February 2, 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.