Individual provider Active NPI

Donald E Shearer, M.D.

  • Ophthalmology Physician
  • Loma Linda, CA
National Provider Identifier
1154301596
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G22378 Issued in CA
Practice address
11346 Mountain View Ave
Ste B
Loma Linda, CA 92354-3833
Phone
(909) 796-0101
Fax
(909) 796-3035
NPI assigned
Jan 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G22378 CA Primary

Addresses

Primary practice location

11346 Mountain View Ave
Ste B
Loma Linda, CA 92354-3833

Mailing address

PO Box 730
Loma Linda, CA 92354-0730
Phone (909) 796-0101

Other identifiers 1

IdentifierTypeStateIssuer
00G22378MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101203000196 CA Practitioner - Ophthalmology 3274720214

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G22378CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Loma Linda University Medical Center Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1154301596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 730",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923540730",
            "telephone_number": "909-796-0101",
            "fax_number": "909-796-3035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11346 MOUNTAIN VIEW AVE",
            "address_2": "STE B",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543833",
            "telephone_number": "909-796-0101",
            "fax_number": "909-796-3035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEARER",
        "first_name": "DONALD",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G22378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G22378",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

Verify at the official NPI Registry.