Organization Active NPI

Joseph R Shapiro MD, Inc.

  • Allergy & Immunology Physician
  • Studio City, CA
National Provider Identifier
1033549589
Registry record updated Nov 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
A77622 Issued in CA
Legal business name
JOSEPH R SHAPIRO MD, INC.
Practice address
12660 Riverside Dr
Suite 325
Studio City, CA 91607-3429
Phone
(818) 769-5998
Fax
(818) 769-5004
NPI assigned
Nov 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2013

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

Authorized official

Name
Joseph Robert Shapiro, MDNPI 1528070737
Title
Owner/President
Phone
(818) 769-5998

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X A77622 CA Primary

Addresses

Primary practice location

12660 Riverside Dr
Suite 325
Studio City, CA 91607-3429

Mailing address

12660 Riverside Dr
Suite 325
Studio City, CA 91607-3429
Phone (818) 769-5998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160826002085 CA Part B Supplier - Clinic/Group Practice 1153616347 Receives reassigned benefits from 3 practitioners
Practice locations: Studio City, CA; West Hills, CA

National Provider Directory

National Provider Directory

Locations

12660 Riverside Dr
Ste 325
Valley Village, CA 91607
Phone (818) 769-5998

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1384905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384905600000",
    "number": "1033549589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12660 RIVERSIDE DR",
            "address_2": "SUITE 325",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916073429",
            "telephone_number": "818-769-5998",
            "fax_number": "818-769-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12660 RIVERSIDE DR",
            "address_2": "SUITE 325",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916073429",
            "telephone_number": "818-769-5998",
            "fax_number": "818-769-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH R SHAPIRO MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-20",
        "last_updated": "2013-11-20",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "818-769-5998",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "A77622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Studio City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.