SHORE MDS MEDICAL CORP
NPI 1427491018
Anesthesiology in Los Angeles, CA

Active since April 12, 2013
6801 PARK TER, LOS ANGELES, CA 90045(310) 665-7150 Get Directions Write a Review

NPPES record last updated: November 21, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Shore Mds Medical Corp NPPES

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

SHORE MDS MEDICAL CORP (NPI 1427491018) is a healthcare organization registered as an anesthesiology in Los Angeles, California and active in the NPI registry since April 2013. The organization lists Amy W Shore, President, as its authorized official.

NPPES Registry Identity

NPI1427491018
Entity TypeOrganization
Primary Taxonomy207L00000X
Legal Business NameSHORE MDS MEDICAL CORP
Location Address6801 PARK TERLos Angeles, CA 90045-1543
Mailing AddressPo Box 3129Torrance, CA 90510-3129 · (310) 792-3914 · Fax (855) 883-0386
Organization SubpartNo
Authorized OfficialAmy W ShorePresident · (310) 792-3914
Enumeration DateApril 12, 2013
Last NPPES UpdateNovember 21, 2013
✔ NPI 1427491018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in CA · A123437
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
6801 PARK TER, Los Angeles, CA 90045

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shore Mds Medical Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20140403002129Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Shore Mds Medical Corp, which bills Medicare for the services this clinician delivers.

Clinician (1)

Anesthesiology
NPI 1235305566
4553 GLENCOE AVE STE 100
Marina Del Rey, CA 90292
(949) 988-7800
✔ PECOS✔ Accepts Medicare2.5 mi

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

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 Shore Mds Medical Corp's NPI number?

The NPI number for Shore Mds Medical Corp is 1427491018. It was assigned to this organization in the NPPES registry on April 12, 2013.

Where is Shore Mds Medical Corp located?

Shore Mds Medical Corp is located at 6801 Park Ter, Los Angeles, CA 90045. The listed phone number is (310) 665-7150.

What is Shore Mds Medical Corp's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Shore Mds Medical Corp enrolled in Medicare?

Yes. Shore Mds Medical Corp is registered in the Medicare PECOS enrollment system.

When is Shore Mds Medical Corp's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Shore Mds Medical Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Anesthesiology) reassigns their Medicare billing to Shore Mds Medical Corp. 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.

When was this NPI record last updated?

The NPPES record for Shore Mds Medical Corp was last updated on November 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.