Active NPI
Alan E Shapiro, M.D.
- Urology Physician
- Los Angeles, CA
National Provider Identifier
1104851385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- G11559
- Practice address
- 8635 W 3Rd St
Suite 765
Los Angeles, CA 90048-6101 - Phone
- (310) 854-7717
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | G11559 | CA | Primary |
Addresses
Primary practice location
8635 W 3Rd St
Suite 765
Los Angeles, CA 90048-6101
Mailing address
8635 W 3Rd St
Suite 765
Los Angeles, CA 90048-6101
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G115590 | Medicaid | CA | |
| G11559 | Other | CA | MEDICAL LICENSE |
| 00G115591 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Yale University School of Medicine, 1963
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
8635 W 3Rd St
Suite 765W
Los Angeles, CA 90048-6108
Phone (310) 854-7717
Hospital & facility affiliations
- Evergreen Health Care Services
- Community Hospital of Huntington Park
- Cedars-Sinai Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G11559 | CA | MD | Urology Physician |
| 11559 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| B. Robert Bamshad, M.D., Inc. | Urology | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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.
-
- Urology Physician
- Los Angeles, CA
- NPI 1639343684
-
- Multi-Specialty Clinic/Center
- San Jose, CA
- NPI 1326312067
-
- Urology Physician
- Los Angeles, CA
- NPI 1487821757
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- West Hollywood, CA
- NPI 1891940326
-
- General Acute Care Hospital
- Huntington Park, CA
- NPI 1891059127
-
- Home Health Agency
- North Hollywood, CA
- NPI 1053067397
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208476800000",
"number": "1104851385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8635 W 3RD ST",
"address_2": "SUITE 765",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900486101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8635 W 3RD ST",
"address_2": "SUITE 765",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900486101",
"telephone_number": "310-854-7717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAPIRO",
"first_name": "ALAN",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2008-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CA",
"license": "G11559",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G115590",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "G11559",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G115591",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.