Organization Active NPI

Stephen R. Shaw, M.D., Inc.

  • Interventional Pain Medicine Physician
  • Ventura, CA
National Provider Identifier
1275578916
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
G50864 Issued in CA
Legal business name
STEPHEN R. SHAW, M.D., INC.
Practice address
3418 Loma Vista Rd
Suite B
Ventura, CA 93003-3016
Phone
(805) 642-0128
Fax
(805) 656-3421
NPI assigned
Jun 17, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Ms. Joanne Forlaw
Title
Office Manager
Phone
(805) 642-0128

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X G47926 CA
Interventional Pain Medicine Physician 208VP0014X G50864 CA Primary

Addresses

Primary practice location

3418 Loma Vista Rd
Suite B
Ventura, CA 93003-3016

Mailing address

3418 Loma Vista Rd
Suite B
Ventura, CA 93003-3016
Phone (805) 642-0128

National Provider Directory

National Provider Directory

Locations

3418 Loma Vista Rd
Ste 1A
Ventura, CA 93003
Phone (805) 642-0128

3418 Loma Vista Rd
Ste B
Ventura, CA 93003
Phone (805) 639-9510

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1275578916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3418 LOMA VISTA RD",
            "address_2": "SUITE B",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033016",
            "telephone_number": "805-642-0128",
            "fax_number": "805-656-3421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3418 LOMA VISTA RD",
            "address_2": "SUITE B",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033016",
            "telephone_number": "805-642-0128",
            "fax_number": "805-656-3421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN R. SHAW, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "FORLAW",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "805-642-0128",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CA",
            "license": "G47926",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "G50864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.