ANDY SHAO
NPI 1972252765
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Q: What is Andy Shao's NPI number?

The NPI number for Andy Shao is 1972252765. It was assigned to this individual provider in the NPPES registry on March 21, 2022.

Q: What is Andy Shao's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Andy Shao was last updated on March 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 March 21, 2022PECOS Enrolled

4860 Y ST STE 2400, SACRAMENTO, CA 95817(916) 734-6602 Get Directions Write a Review

NPPES record last updated: March 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Andy Shao NPPES

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

ANDY SHAO (NPI 1972252765) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972252765

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameANDY SHAO

Location Address4860 Y ST STE 2400Sacramento, CA 95817-2307

Mailing Address4860 Y St Ste 2400Sacramento, CA 95817-2307 · (916) 734-6602

Phone(916) 734-6602

Sole ProprietorYes

Enumeration DateMarch 21, 2022

NPPES CertifiedMarch 21, 2022

✔ NPI 1972252765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4860 Y ST STE 2400, Sacramento, CA 95817

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andy Shao is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

DR. JEFFREY RYUTA WILLIS M.D., PHD

Student in an Organized Health Care Education/Training Program