Alexander Shpaner, M.D., Inc.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

A86958 Issued in CA

Legal business name

ALEXANDER SHPANER, M.D., INC.

Practice address

6719 Alvarado Rd Ste 206
San Diego, CA 92120-5261

Phone

(619) 287-9100

Fax

(619) 287-4536

NPI assigned

Mar 4, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Christine Hart

Title

Billing Department

Phone

(619) 287-8533

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alexander Shpaner, M.D.

  • Gastroenterology Physician
  • San Diego, CA
  • NPI 1538334974
  Medicare reassignment NPD

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

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236124800000",
    "number": "1114167152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6719 ALVARADO RD STE 206",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205261",
            "telephone_number": "619-287-9100",
            "fax_number": "619-287-4536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6719 ALVARADO RD STE 206",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205261",
            "telephone_number": "619-287-9100",
            "fax_number": "619-287-4536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER SHPANER, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-04",
        "last_updated": "2009-03-04",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "BILLING DEPARTMENT",
        "authorized_official_telephone_number": "619-287-8533",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A86958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; 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.