Individual provider Active NPI

Michael E Shapiro, MD

  • Specialist
  • Manhattan Beach, CA
National Provider Identifier
1033200951
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
6909 Issued in NV
Practice address
400 S Sepulveda Blvd
Suite 200
Manhattan Beach, CA 90266-6814
Phone
(424) 212-8505
Fax
(310) 356-3851
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 6909 NV Primary

Addresses

Primary practice location

400 S Sepulveda Blvd
Suite 200
Manhattan Beach, CA 90266-6814

Mailing address

400 S Sepulveda Blvd
Suite 200
Manhattan Beach, CA 90266-6814
Phone (424) 212-8505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150915003154 CA Practitioner - Physical Medicine and Rehabilitation 0648362095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Miami, LM Miller School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Usc Care Medical Group IncGroup PAC ID 0446157747, shared by 9 NPIs, 1,378 clinicians
Beach Cities Orthopedics and Sports MedicineGroup PAC ID 7517014251, 33 clinicians

Practice addresses (Care Compare)

1520 San Pablo St
Los Angeles, CA 90033-5310
Phone (800) 872-2273

1520 San Pablo St 1St Floor N
Los Angeles, CA 90033-5310
Phone (800) 872-2273

400 S Sepulveda Blvd
Suite 200
Manhattan Beach, CA 90266-6876
Phone (310) 546-3461

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
78335CAMDMarriage & Family Therapist
6909NVMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael E Shapiro MD LTD Specialist CurrentSince Aug 1, 2007 Accepting new patients

Locations

1139 3rd St
South Lake Tahoe, CA 96150
Phone (530) 541-3100

615 Sierra Rose Dr
Ste 4
Reno, NV 89511
Phone (775) 689-5410

605 Sierra Rose Dr
Ste 4
Reno, NV 89511
Phone (775) 689-5410

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BJAACD/Endpoint/BJAACD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1033200951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S SEPULVEDA BLVD",
            "address_2": "SUITE 200",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902666814",
            "telephone_number": "424-212-8505",
            "fax_number": "310-356-3851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S SEPULVEDA BLVD",
            "address_2": "SUITE 200",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902666814",
            "telephone_number": "424-212-8505",
            "fax_number": "310-356-3851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "MICHAEL",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NV",
            "license": "6909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan Beach, CA

Sources for this page

Verify at the official NPI Registry.