Perry Michael Shoor, M.D.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

G24044 Issued in CA

Practice address

1303 San Carlos Ave
San Carlos, CA 94070-2317

Phone

(650) 593-0965

Fax

(650) 593-2379

NPI assigned

Jul 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Pacific Coast Cardiac & Vascular Surgeons

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Redwood City, CA
  • NPI 1205886108
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228262400000",
    "number": "1073527198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 SUTHERLAND DR",
            "city": "ATHERTON",
            "state": "CA",
            "postal_code": "940276430",
            "telephone_number": "650-854-3578",
            "fax_number": "650-854-3643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 SAN CARLOS AVE",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940702317",
            "telephone_number": "650-593-0965",
            "fax_number": "650-593-2379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOOR",
        "first_name": "PERRY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2008-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "G24044",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G24044",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CP2153",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherna Madan, MD, Inc.
• Shifteh Iranmanesh DMD Inc
• Jay Shin
• Monica Ochoa Shipp, M.A., ED.M.
• Amy Ruddle Shohet, LCSW
• Geetika Shree, AMFT131843
• Stacey Shrout
• Bernadette Shu, LMFT
• Joseph Shubert, MD
• Shubha Shukla, LMFT#147469

• Vascular Surgery Physician in San Carlos, CA
• Providers in San Carlos, CA by specialty
• Vascular Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.