Organization Active NPI

Shapiro Stafford Yee & Polonsky PC

  • Hematology & Oncology Physician
  • Arcadia, CA
National Provider Identifier
1083002208
Registry record updated Dec 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
SHAPIRO STAFFORD YEE & POLONSKY PC
Practice address
622 W Duarte Rd Ste 202
Arcadia, CA 91007-9272
Phone
(626) 446-6674
NPI assigned
Dec 23, 2014
Last updated
Dec 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2014

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

Authorized official

Name
Lorie Conover
Title
Billing Manager
Phone
(818) 507-4732

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU
Hematology & Oncology Physician 207RH0003X NU Primary

Addresses

Primary practice location

622 W Duarte Rd Ste 202
Arcadia, CA 91007-9272

Mailing address

700 N Brand Blvd Ste 640
Glendale, CA 91203-4271
Phone (818) 507-4732

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150722005617 CA Part B Supplier - Clinic/Group Practice 6800109679 Receives reassigned benefits from 3 practitioners
Practice locations: Covina, CA; Arcadia, CA

National Provider Directory

National Provider Directory

Locations

622 W Duarte Rd
Ste 202
Arcadia, CA 91007
Phone (626) 446-4461

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1419292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419811200000",
    "number": "1083002208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N BRAND BLVD STE 640",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034271",
            "telephone_number": "818-507-4732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 W DUARTE RD STE 202",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910079272",
            "telephone_number": "626-446-6674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAPIRO STAFFORD YEE & POLONSKY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-23",
        "last_updated": "2014-12-29",
        "status": "A",
        "authorized_official_last_name": "CONOVER",
        "authorized_official_first_name": "LORIE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "818-507-4732"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; 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.