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SHINE HEALTHCARE INC.
NPI 1568760239
Pediatrics in Norwalk, CA

Active since March 04, 2011
12371 IMPERIAL HWY, NORWALK, CA 90650(562) 929-5000(562) 375-6286 Get Directions Write a Review

NPPES record last updated: July 28, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shine Healthcare Inc. NPPES

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

SHINE HEALTHCARE INC. (NPI 1568760239) is a healthcare organization registered as a pediatrics in Norwalk, California and active in the NPI registry since March 2011. The organization lists Praful Sarode, Ceo, as its authorized official.

NPPES Registry Identity

NPI1568760239
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSHINE HEALTHCARE INC.
Location Address12371 IMPERIAL HWYNorwalk, CA 90650-3129
Mailing Address12371 Imperial HwyNorwalk, CA 90650-3129 · (562) 929-5000 · Fax (562) 375-6286
Phone(562) 929-5000
Fax(562) 375-6286
Organization SubpartNo
Authorized OfficialPraful SarodeCeo · (562) 929-5000
Enumeration DateMarch 4, 2011
Last NPPES UpdateJuly 28, 2012
✔ NPI 1568760239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A43383
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.
Also ListedFamily MedicineTaxonomy 207Q00000X · License A43383 (CA)
Also ListedPediatrics · Neonatal-Perinatal MedicineTaxonomy 2080N0001X · License A43383 (CA)
Also ListedPediatrics · Pediatric Critical Care MedicineTaxonomy 2080P0203X · License A43383 (CA)
Also ListedPediatrics · Pediatric PulmonologyTaxonomy 2080P0214X · License A43383 (CA)
Also ListedPreventive Medicine · Undersea and Hyperbaric MedicineTaxonomy 2083P0011X · License A43383 (CA)
Also ListedHospitalistTaxonomy 208M00000X · License A43383 (CA)
12371 IMPERIAL HWY, Norwalk, CA 90650
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 05D2044939

Shine Healthcare Inc · Norwalk, CA
Expired · Aug 1, 2026
CLIA Number05D2044939
Laboratory TypePhysician Office
Certificate Effective DateAugust 2, 2024
Certificate Expiration DateAugust 1, 2026
Laboratory DirectorPraful Sarode
Laboratory Phone(562) 864-8640
Laboratory LocationShine Healthcare Inc12371 Imperial Hwy, Norwalk, CA 90650
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

MRS. ISABEL CHRISTINA DEL TORO NP-C
Nurse Practitioner (Family)
12371 IMPERIAL HWY
NORWALK, CA 90650
Los Angeles County (562) 929-5000
PROF. VALERIE KAY LEE PA-C
Physician Assistant
12371 IMPERIAL HWY
NORWALK, CA 90650
Los Angeles County (562) 929-5000
DR. SAEEDA THARA M.D.
Pediatrics
12371 IMPERIAL HWY
NORWALK, CA 90650
Los Angeles County (562) 929-5000

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 Shine Healthcare Inc.'s NPI number?

The NPI number for Shine Healthcare Inc. is 1568760239. It was assigned to this organization in the NPPES registry on March 4, 2011.

Where is Shine Healthcare Inc. located?

Shine Healthcare Inc. is located at 12371 Imperial Hwy, Norwalk, CA 90650. The listed phone number is (562) 929-5000.

What is Shine Healthcare Inc.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Shine Healthcare Inc. was last updated on July 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.