Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. RANDALL G SHUE D.O.
NPI 1679576730
Family Medicine in Los Angeles, CA

Active since May 23, 2005PECOS Enrolled
4055 E OLYMPIC BLVD, STE 210, LOS ANGELES, CA 90023(323) 268-3491(323) 264-8406 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Randall G Shue D.o. NPPES

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

DR. RANDALL G SHUE D.O. (NPI 1679576730) is an individual family medicine provider in Los Angeles, California, licensed in California (20A5142) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS and is a graduate of College Of Osteo Med Of The Pacific At Pomona (1983).

NPPES Registry Identity

NPI1679576730
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. RANDALL G SHUECredential: D.O.
Location Address4055 E OLYMPIC BLVD, STE 210Los Angeles, CA 90023-3345
Mailing Address4055 E Olympic Blvd, Ste 210Los Angeles, CA 90023-3345 · (323) 268-3491 · Fax (323) 264-8406
Fax(323) 264-8406
Sole ProprietorNo
Medical School CMSCollege Of Osteo Med Of The Pacific At PomonaGraduated 1983
Enumeration DateMay 23, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1679576730 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 · 20A5142
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.
4055 E OLYMPIC BLVD, Los Angeles, CA 90023

Other Identifiers 2

Medicaid00AX51420CA
Medicaid00AX51422CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Randall G Shue D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658322557
PECOS Enrollment IDI20050316001003
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90023 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers40 claims59 services$2.81 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers18 claims23 services$0.50 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

Clinic/Center (Primary Care)
4055 E OLYMPIC BLVD, SUITE 210
LOS ANGELES, CA 90023
General Practice
4055 E OLYMPIC BLVD, SUITE 207
LOS ANGELES, CA 90023
Pharmacy (Community/Retail Pharmacy)
4055 E OLYMPIC BLVD
LOS ANGELES, CA 90023
Family Medicine
4055 E OLYMPIC BLVD, #210
LOS ANGELES, CA 90023
Clinic/Center (Primary Care)
4055 E OLYMPIC BLVD, #207
LOS ANGELES, CA 90023

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 Randall Shue's NPI number?

The NPI number for Randall Shue is 1679576730. It was assigned to this individual provider in the NPPES registry on May 23, 2005.

Where is Randall Shue located?

Randall Shue practices at 4055 E Olympic Blvd Ste 210, Los Angeles, CA 90023. The listed phone number is (323) 268-3491.

What is Randall Shue's specialty?

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

Is Randall Shue enrolled in Medicare?

Yes. Randall Shue is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Randall Shue was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.