Individual provider Active NPI

Shawn Mo, DO

  • Internal Medicine Physician
  • Escondido, CA
National Provider Identifier
1033679873
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A19487 Issued in CA
Practice address
2185 Citracado Pkwy
Escondido, CA 92029-4159
Phone
(442) 281-5000
NPI assigned
Mar 20, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 20A19487 CA Primary

Addresses

Primary practice location

2185 Citracado Pkwy
Escondido, CA 92029-4159

Mailing address

898 N Pacific Coast Hwy Ste 600
El Segundo, CA 90245-2747
Phone (310) 698-5485

Other practice location 1

1100 N Palm Canyon Dr Ste 109
Palm Springs, CA 92262-4418
Phone (760) 992-7152

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
I20220824003366 CA Practitioner - Internal Medicine 2668856667 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Liberty Univ College of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palomar Hospitalist Medical Group IncGroup PAC ID 3678978269, 53 clinicians
East Campus Hospitalist Medical Group IncGroup PAC ID 7113361593, 27 clinicians

Practice addresses (Care Compare)

15615 Pomerado Rd
Poway, CA 92064-2405
Phone (310) 379-2134

2185 Citracado Pkwy
Escondido, CA 92029-4159
Phone (310) 379-2134

6655 Alvarado Rd
San Diego, CA 92120-5208
Phone (310) 698-5452

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.32 of 100Reported as group
Improvement activities
40
Cost
76.64

Merit-based Incentive Payment System (MIPS)

Final score
97.8 of 100Reported as group
Improvement activities
40
Cost
75.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A19487CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palomar Hospitalist Medical Group, Inc CurrentSince Sep 1, 2022 Accepting new patients
Innovative Medical Group Internal Medicine CurrentSince Jul 28, 2022 Accepting new patients
East Campus Hospitalist Medical Group, Inc. Internal Medicine CurrentSince May 1, 2024 Accepting new patients

Locations

898 N Pacific Coast Hwy
Ste 600
El Segundo, CA 90245
Phone (310) 698-5254

2185 Citracado Pkwy
Escondido, CA 92029
Phone (442) 281-5000

24100 Monroe Ave
Murrieta, CA 92562
Phone (951) 302-1122

902 Euclid Ave
National City, CA 91950
Phone (619) 791-7700

220 E 24th St
National City, CA 91950
Phone (619) 474-6741

15615 Pomerado Rd
Poway, CA 92064
Phone (858) 613-4000

6655 Alvarado Rd
San Diego, CA 92120
Phone (619) 229-3130

44045 Margarita Rd
Ste 101
Temecula, CA 92592
Phone (951) 302-1122

29645 Rancho California Rd
Ste 226
Temecula, CA 92591
Phone (951) 302-1122

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1033679873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "898 N PACIFIC COAST HWY STE 600",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902452747",
            "telephone_number": "310-698-5485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2185 CITRACADO PKWY",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920294159",
            "telephone_number": "442-281-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 N Palm Canyon Dr Ste 109",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "CA",
            "postal_code": "922624418",
            "country_code": "US",
            "telephone_number": "760-992-7152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MO",
        "first_name": "SHAWN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-20",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A19487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

Verify at the official NPI Registry.