NORTHERN CALIFORNIA CANCER SPECIALISTS
NPI 1619063435
Internal Medicine - Hematology & Oncology in Jackson, CA

Q: What is Gary G Shi MD Inc's NPI number?

The NPI number for Gary G Shi MD Inc is 1619063435. It was assigned to this organization in the NPPES registry on October 5, 2006. The provider is doing business as Northern California Cancer Specialists.

Q: What is Gary G Shi MD Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Q: When was this NPI record last updated?

The NPPES record for Gary G Shi MD Inc was last updated on January 23, 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.

Active since October 05, 2006

617 NEW YORK RANCH RD, JACKSON, CA 95642(209) 257-0292(209) 257-0676 Get Directions Write a Review

NPPES record last updated: January 23, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Northern California Cancer Specialists NPPES

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

NORTHERN CALIFORNIA CANCER SPECIALISTS (NPI 1619063435) is a healthcare organization registered as a hematology & oncology in Jackson, California and active in the NPI registry since October 2006. The organization lists Gary G Shi, Owner, as its authorized official.

NPPES Registry Identity

NPI1619063435

Entity TypeOrganization

Primary Taxonomy207RH0003X

Legal Business NameGARY G SHI MD INC

Location Address617 NEW YORK RANCH RDJackson, CA 95642-9328

Mailing Address617 New York Ranch RdJackson, CA 95642-9328 · (209) 257-0292 · Fax (209) 257-0676

Phone(209) 257-0292

Fax(209) 257-0676

Organization SubpartNo

Authorized OfficialGary G ShiOwner · (209) 257-0292

Enumeration DateOctober 5, 2006

Last NPPES UpdateJanuary 23, 2012

✔ NPI 1619063435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in CA · A92230

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

617 NEW YORK RANCH RD, Jackson, CA 95642

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Other Names 1

Doing Business AsNorthern California Cancer Specialists

Other Identifiers 3

Medicaid00A922300CA

Medicare PINZZZ03380ZCA

Medicare UPINI08147CA

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)

Northern California Cancer Specialists 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 Northern California Cancer Specialists, which bills Medicare for the services this clinician delivers.

Clinician (1)

Gary Shi, MD, PHD

Hematology/Oncology

NPI 1235101437

617 NEW YORK RANCH RD
Jackson, CA 95642

(209) 257-0292

✔ 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.

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 Gary G Shi MD Inc's NPI number?

The NPI number for Gary G Shi MD Inc is 1619063435. It was assigned to this organization in the NPPES registry on October 5, 2006. The provider is doing business as Northern California Cancer Specialists.

Where is Gary G Shi MD Inc located?

Gary G Shi MD Inc is located at 617 New York Ranch Rd, Jackson, CA 95642. The listed phone number is (209) 257-0292.

What is Gary G Shi MD Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Gary G Shi MD Inc enrolled in Medicare?

Yes. Gary G Shi MD Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gary G Shi MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Hematology/Oncology) reassigns their Medicare billing to Gary G Shi MD Inc. 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 Gary G Shi MD Inc was last updated on January 23, 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.