Organization Active NPI

James S. Shafer, M.D.

  • Orthopaedic Surgery Physician
  • Covina, CA
National Provider Identifier
1194845776
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
C26610 Issued in CA
Legal business name
JAMES S. SHAFER, M.D.
Practice address
203 W Badillo St
Covina, CA 91723-1907
Phone
(626) 332-6238
Fax
(626) 332-1044
NPI assigned
Mar 29, 2007
Last updated
Jan 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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

Authorized official

Name
Dr. James S Shafer, M.D.
Title
President
Phone
(626) 332-6238

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X C26610 CA Primary

Addresses

Primary practice location

203 W Badillo St
Covina, CA 91723-1907

Mailing address

203 W Badillo St
Covina, CA 91723-1907
Phone (626) 332-6238

Other identifiers 2

IdentifierTypeStateIssuer
00C266100MedicaidCA
00C266100OtherCABLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1194845776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 W BADILLO ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231907",
            "telephone_number": "626-332-6238",
            "fax_number": "626-332-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 W BADILLO ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231907",
            "telephone_number": "626-332-6238",
            "fax_number": "626-332-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES S. SHAFER, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "SHAFER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-332-6238",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "C26610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C266100",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00C266100",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.