Shellee Lazar MD Apc

Primary specialty

Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X

Legal business name

SHELLEE LAZAR MD APC

Practice address

350 Terracina Blvd
Redlands, CA 92373-4850

Phone

(909) 335-5616

Fax

(909) 307-7518

NPI assigned

May 30, 2024

Organization subpart

No

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

Authorized official

Name

Shellee Lazar, MDNPI 1093806382

Title

Authorized Rep

Phone

(909) 709-6826

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.

• Shellee Rae Lazar, M.D.

  • Obstetrics & Gynecology Physician
  • Redlands, CA
  • NPI 1093806382

  Multi-Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1717027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1255171864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9595",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923752795",
            "telephone_number": "909-335-5616",
            "fax_number": "909-307-7518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 TERRACINA BLVD",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734850",
            "telephone_number": "909-335-5616",
            "fax_number": "909-307-7518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELLEE LAZAR MD APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "LAZAR",
        "authorized_official_first_name": "SHELLEE",
        "authorized_official_title_or_position": "AUTHORIZED REP",
        "authorized_official_telephone_number": "909-709-6826",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2083P0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delia R Shanahan, NP
• Gillian S Shaw, MD
• Toby S Shaw, LMFT
• Victoria Nicole Shaw
• William Carey Shearer, PH.D., ED.D., M.B.A.
• Ashley Nicole Shelley, RDH, RDHAP
• Celina W Shelton, D.P.T.
• Shepherd Medical Staffing Agency L.L.C.
• Slade Stewart Shepherd, DDS
• Venice Amelia Sherman

• Undersea and Hyperbaric Medicine (Preventive Medicine) Physician in Redlands, CA
• Providers in Redlands, CA by specialty
• Undersea and Hyperbaric Medicine (Preventive Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.