Individual provider Active NPI

Stuart L. Shear, M.D.

  • Dermatology Physician
  • Burbank, CA
National Provider Identifier
1053345009
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G37056 Issued in CA
Practice address
2121 W Magnolia Blvd
Burbank, CA 91506-1706
Phone
(818) 955-8877
Fax
(818) 955-8845
NPI assigned
Jul 10, 2006
Last updated
Jan 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X G37056 CA Primary

Addresses

Primary practice location

2121 W Magnolia Blvd
Burbank, CA 91506-1706

Mailing address

2121 W Magnolia Blvd
Burbank, CA 91506-1706
Phone (818) 955-8877

Other practice location 1

1127 Wilshire Blvd Ste 600
Los Angeles, CA 90017-3907
Phone (213) 278-0021

Other identifiers 1

IdentifierTypeStateIssuer
00G370560MedicaidCA

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
I20040115001188 CA Practitioner - Dermatology 0547161267 Reassigns benefits to 3 organizations
Practice locations: Burbank, CA

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Emory University School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premiere Medical Center of Burbank, IncGroup PAC ID 4688709744, 5 clinicians

Practice addresses (Care Compare)

4418 Vineland Ave
Suite 102
Toluca Lake, CA 91602-3457
Phone (818) 842-7145

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions45
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G37056CAMDDermatology Physician
37056CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rachael Cayce, M.D. Inc., a Professional Corporation Dermatology CurrentSince Dec 19, 2022 Accepting new patients
Healthcare Partners Affiliates Medical Group Dermatology CurrentSince Feb 1, 2020 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Feb 1, 2020 Accepting new patients
Premiere Medical Center of Burbank, Inc. CurrentSince Oct 1, 2023 Accepting new patients
Csi Medical Group Dermatology CurrentSince Dec 19, 2022 Accepting new patients
Stuart L. Shear, M.D., Inc. Dermatology PastSince Aug 5, 1990 Accepting new patients
Regal Medical Group, Inc. PastSince Feb 1, 2006 Accepting new patients
Providence Facey Medical Foundation Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

1025 W Olympic Blvd
Los Angeles, CA 90015
Phone (213) 623-2225

1127 Wilshire Blvd
Ste 600
Los Angeles, CA 90017
Phone (213) 250-7735

11600 Indian Hills Rd
Mission Hills, CA 91345
Phone (818) 781-7097

10 Congress St
Ste 320
Pasadena, CA 91105
Phone (626) 585-9474

401 S Fair Oaks Ave
Pasadena, CA 91105
Phone (323) 720-1144

4418 Vineland Ave
Ste 102
Toluca Lake, CA 91602
Phone (818) 239-0299

4201 Torrance Blvd
Ste 640
Torrance, CA 90503
Phone (310) 375-9994

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1053345009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 W MAGNOLIA BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915061706",
            "telephone_number": "818-955-8877",
            "fax_number": "818-955-8845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 W MAGNOLIA BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915061706",
            "telephone_number": "818-955-8877",
            "fax_number": "818-955-8845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1127 Wilshire Blvd Ste 600",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900173907",
            "country_code": "US",
            "telephone_number": "213-278-0021",
            "fax_number": "213-278-0973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEAR",
        "first_name": "STUART",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G37056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G370560",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.