Individual provider Active NPI

Scott Eric Shaw, PA C

  • Physician Assistant
  • Salinas, CA
National Provider Identifier
1225079189
Registry record updated Feb 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
55753 Issued in CA
Practice address
212 San Jose St Ste 301
Salinas, CA 93901-3928
Phone
(831) 759-3289
Fax
(831) 758-1565
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA3658 KY
Physician Assistant 363A00000X PA02417 TX
Physician Assistant 363A00000X 55753 CA Primary

Addresses

Primary practice location

212 San Jose St Ste 301
Salinas, CA 93901-3928

Mailing address

100 Wilson Rd Ste 100
Monterey, CA 93940-7885
Phone (831) 649-1000

Other practice location 1

201 Abraham Flexner Way Ste 1200
Louisville, KY 40202-3841
Phone (502) 588-7659

Other practice location 2

3535 S I 35 E
Denton, TX 76210-6850
Phone (972) 280-0080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AR, MT, MO, CA, IA, KY7 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20031216000875 TX Practitioner - Physician Assistant 7012814155 Reassigns benefits to 2 organizations
I20190321001957 AR Practitioner - Physician Assistant 7012814155 Reassigns benefits to 3 organizations
I20220126001856 MT Practitioner - Physician Assistant 7012814155 Reassigns benefits to 1 organization
I20230412002161 MO Practitioner - Physician Assistant 7012814155 Reassigns benefits to 2 organizations
I20230608001220 CA Practitioner - Physician Assistant 7012814155 Reassigns benefits to 1 organization
I20230811001465 IA Practitioner - Physician Assistant 7012814155 Reassigns benefits to 1 organization
I20260225003878 KY Practitioner - Physician Assistant 7012814155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Svmhs ClinicsGroup PAC ID 1456592351, 258 clinicians
Providence Health AllianceGroup PAC ID 6305731068, 119 clinicians
Washington Regional Medical SystemGroup PAC ID 8820995434, shared by 13 NPIs, 238 clinicians
Mercy Medical CenterGroup PAC ID 4183535271, 295 clinicians

Practice addresses (Care Compare)

1033 Los Palos Dr
Salinas, CA 93901-3916
Phone (831) 757-2058

301 Richland W Cir
Providence Internal Medicine Clinic
Waco, TX 76712-7932
Phone (254) 537-6200

3215 N Northhills Blvd
Washington Regional Hospital Medicine Gro
Fayetteville, AR 72703-4007

450 E Romie LN
Salinas, CA 93901-4029
Phone (831) 759-3257

701 10TH St SE
Cedar Rapids, IA 52403-1251

701 10TH St SE
Cedar Rapids, IA 52403-1292

701 10TH St SE J Edward Lundy
Mercy Pediatric Clinic
Cedar Rapids, IA 52403-1251
Phone (319) 832-2328

813 Founders Park Dr E
Suite 101
Springdale, AR 72762-6321
Phone (479) 463-2333

Hospital & facility affiliations

  • Salinas Valley Health Medical Center Hospital, Salinas, CA, CCN 050334
  • Ascension Providence Hospital, Waco, TX, CCN 450042

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA3658KYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Regional Medical System CurrentSince Mar 2, 2025 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Apr 10, 2023 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Jan 26, 2019 Accepting new patients
Benefis Hospitals, Inc. CurrentSince Dec 1, 2021 Accepting new patients
Benefis Hospitals Inc CurrentSince Dec 1, 2021 Accepting new patients
Washington Regional Medical System CurrentSince Mar 2, 2025 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Apr 10, 2023 Accepting new patients
Svmhs Clinics CurrentSince May 2, 2023 Accepting new patients
Physician Assistant Services of Texas L.L.P CurrentSince Jan 1, 2004 Accepting new patients
University of Louisville Phyisicians, Inc. CurrentSince Jan 30, 2026 Accepting new patients
Providence Health Alliance CurrentSince Jun 28, 2024 Accepting new patients
Washington Regional Medical System CurrentSince Mar 2, 2025 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Apr 10, 2023 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jan 30, 2026 Accepting new patients
Mercy Medical Center CurrentSince Jun 20, 2023 Accepting new patients
United Regional Health Care System Inc Current Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Jan 26, 2019 Accepting new patients
Mercy Medical Center CurrentSince Jun 20, 2023 Accepting new patients
Methodist Hospitals of Dallas Past Accepting new patients
Methodist Hospital of Dallas Past Accepting new patients
Methodist Hospitals of Dallas Past Accepting new patients
Lancelot O Alexander MD a Medical Corporation Past Accepting new patients
Mercy Medical Center Past Accepting new patients
Southwest Louisiana Hospital Association Inc Past Accepting new patients
Methodist Hospitals of Dallas Past Accepting new patients
University of Arkansas for Medical Sciences Past Accepting new patients
Mercy Hospital Springfield Past Accepting new patients
Arkansas Heart Hospital, LLC Past Accepting new patients

Locations (25 of 26)

3215 N Northhills Blvd
Fayetteville, AR 72703
Phone (479) 463-1000

4301 W Markham St
Ste 783
Little Rock, AR 72205
Phone (501) 603-1278

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

100 Wilson Rd
Ste 100
Monterey, CA 93940
Phone (831) 242-8301

212 San Jose St
Ste 301
Salinas, CA 93901
Phone (831) 759-3289

1033 Los Palos Dr
Salinas, CA 93901
Phone (831) 424-2866

701 10th St SE
Cedar Rapids, IA 52403
Phone (319) 398-6011

7752 Solution Ctr
Chicago, IL 60677

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

201 Abraham Flexner Way
Ste 1200
Louisville, KY 40202
Phone (502) 583-8383

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690

1401 25th St S
Great Falls, MT 59405
Phone (406) 455-3650

1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132

1608 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7700

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

609 Medical Center Dr
Decatur, TX 76234
Phone (940) 626-1360

3535 S Interstate 35 E
Denton, TX 76210
Phone (940) 384-3013

900 8th Ave
Ft Worth, TX 76104
Phone (817) 336-2100

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

605 Holderrieth Blvd
Tomball, TX 77375
Phone (281) 401-7500

301 Richland West Cir
Waco, TX 76712
Phone (254) 537-6200

Interoperability endpoints

  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
  • Direct secure messaging: sshaw57640@unitedregional.medalliesdirect.net
  • Direct secure messaging: sshaw49796@washingtonregional.direct-ci.com
  • Direct secure messaging: sshaw18202@direct.svmh.com
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 31

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.

View all 31

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770422400000",
    "number": "1225079189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WILSON RD STE 100",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939407885",
            "telephone_number": "831-649-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 SAN JOSE ST STE 301",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013928",
            "telephone_number": "831-759-3289",
            "fax_number": "831-758-1565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Abraham Flexner Way Ste 1200",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402023841",
            "country_code": "US",
            "telephone_number": "502-588-7659",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3535 S I 35 E",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "TX",
            "postal_code": "762106850",
            "country_code": "US",
            "telephone_number": "972-280-0080",
            "fax_number": "972-280-0081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAW",
        "first_name": "SCOTT",
        "middle_name": "ERIC",
        "name_prefix": "Mr.",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2026-02-07",
        "certification_date": "2026-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA3658",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA02417",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "55753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.