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SHALOM MEDICAL CORPORATION
NPI 1346343696
Family Medicine in Glendale, CA

Active since September 05, 2006CLIA 05D2342547 · Waiver
1901 BROADVIEW DR STE 355, GLENDALE, CA 91208(818) 246-3306(818) 246-3333 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 11, 2025, Oct 24, 2019 (2 updates tracked since 2019).

About Shalom Medical Corporation NPPES

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

SHALOM MEDICAL CORPORATION (NPI 1346343696) is a healthcare organization registered as a family medicine in Glendale, California and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through April 20, 2028 and lists David S Han, President, as its authorized official.

NPPES Registry Identity

NPI1346343696
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSHALOM MEDICAL CORPORATION
Location Address1901 BROADVIEW DR STE 355Glendale, CA 91208-1201
Mailing Address1901 Broadview DrGlendale, CA 91208-1201 · (818) 246-3306 · Fax (818) 246-3333
Phone(818) 246-3306
Fax(818) 246-3333
Organization SubpartNo
Authorized OfficialDavid S HanPresident · (818) 246-3306
Enumeration DateSeptember 5, 2006
Last NPPES UpdateNovember 11, 20252 updates tracked since enumeration
NPPES CertifiedNovember 11, 2025
✔ NPI 1346343696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A92286
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1901 BROADVIEW DR STE 355, Glendale, CA 91208
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shalom Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Shalom Medical Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

David Han, M.D.
Family Practice
NPI 1093755977
1901 BROADVIEW DR
Glendale, CA 91208
(818) 246-3306
✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2342547

Shalom Medical Corporation · Glendale, CA
Active · expires Apr 20, 2028
CLIA Number05D2342547
Laboratory TypePhysician Office
Certificate Effective DateApril 21, 2026
Certificate Expiration DateApril 20, 2028
Laboratory DirectorHan David
Laboratory Phone(818) 246-3306
Laboratory LocationShalom Medical Corporation1901 Broadview Drive, Glendale, CA 91208
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Shalom Medical Corporation's NPI number?

The NPI number for Shalom Medical Corporation is 1346343696. It was assigned to this organization in the NPPES registry on September 5, 2006.

Where is Shalom Medical Corporation located?

Shalom Medical Corporation is located at 1901 Broadview Dr Ste 355, Glendale, CA 91208. The listed phone number is (818) 246-3306.

What is Shalom Medical Corporation's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shalom Medical Corporation enrolled in Medicare?

Yes. Shalom Medical Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shalom Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Shalom Medical Corporation. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Shalom Medical Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2342547) is associated with this NPI, valid through April 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Shalom Medical Corporation was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.