Active NPI
Robert Hugh Shapiro, M.D.
- Internal Medicine Physician
- Los Angeles, CA
National Provider Identifier
1245276823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G86779
- Practice address
- 9601 S Sepulveda Blvd
Los Angeles, CA 90045-5203 - Phone
- (310) 215-6020
- Fax
- (310) 641-3521
- NPI assigned
- Jun 21, 2006
- Last updated
- Mar 24, 2016
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G86779 | CA | Primary |
Addresses
Primary practice location
9601 S Sepulveda Blvd
Los Angeles, CA 90045-5203
Mailing address
8510 Balboa Blvd
Ste 150
Northridge, CA 91325-5810
Phone (818) 637-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G867790 | 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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190605003352 | CA | Order and Referring Only - Internal Medicine | 3678477908 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86779 | CA | MD | Pharmacist |
| G86779 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Max Franklin Lebow, a Medical Corporation | Past | Accepting new patients | |
| Lea Emergency Group LLC | Past | Accepting new patients | |
| Az Corridor Emergency Physicians | Past | Accepting new patients | |
| Mercy Inpatient Medical Associates Inc. | Internal Medicine | Past | Accepting new patients |
| Eddy Emergency Group LLC | Past | Accepting new patients | |
| University Physicians Healthcare | Past | Accepting new patients | |
| Jse Emergency Medical Group | Past | Accepting new patients | |
| Heritage Provider Network, Inc. | Past | Accepting new patients | |
| Centinela Freeman Emergency Medical Associates | Past | Accepting new patients |
Interoperability endpoints
- robert.shapiro.p1@direct.lakeside.nextgenshare.com
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Inglewood, CA
- NPI 1962539684
-
- Health Maintenance Organization
- Northridge, CA
- NPI 1881720001
-
- Emergency Medicine Physician
- Hawaiian Gardens, CA
- NPI 1851348486
-
dba Emergency Physician Services Medical Assoicates
- Emergency Medicine Physician
- Inglewood, CA
- NPI 1043255813
-
- Emergency Medicine Physician
- Casa Grande, AZ
- NPI 1316152333
-
- Emergency Medicine Physician
- Carlsbad, NM
- NPI 1568487395
-
- Emergency Medicine Physician
- Hobbs, NM
- NPI 1063521938
-
dba Trinity Health Of New England Medical Group
- Internal Medicine Physician
- Springfield, MA
- NPI 1407845282
-
- Psychiatry Physician
- Tucson, AZ
- NPI 1730141243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458777600000",
"number": "1245276823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8510 BALBOA BLVD",
"address_2": "STE 150",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913255810",
"telephone_number": "818-637-2000",
"fax_number": "818-654-3417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9601 S SEPULVEDA BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455203",
"telephone_number": "310-215-6020",
"fax_number": "310-641-3521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAPIRO",
"first_name": "ROBERT",
"middle_name": "HUGH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-21",
"last_updated": "2016-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G86779",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G867790",
"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 Mar 24, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.