Individual provider Active NPI

Laurence E Shields, MD

  • Maternal & Fetal Medicine Physician
  • Santa Maria, CA
National Provider Identifier
1295741668
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
A49287 Issued in CA
Practice address
116 S Palisade Dr Ste 103
Santa Maria, CA 93454-8904
Phone
(805) 739-3280
Fax
(805) 739-3380
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X A49287 CA Primary

Addresses

Primary practice location

116 S Palisade Dr Ste 103
Santa Maria, CA 93454-8904

Mailing address

116 S Palisade Dr Ste 103
Santa Maria, CA 93454-8904
Phone (805) 739-3280

Other practice location 1

1941 Johnson Ave Ste 105B
San Luis Obispo, CA 93401-4140
Phone (805) 786-6170

Other practice location 2

2901 N Ventura Rd Ste 110
Oxnard, CA 93036-9705
Phone (805) 981-6163

Other practice location 3

220 S Palisade Dr Ste 203
Santa Maria, CA 93454-8903
Phone (805) 354-7101

Other identifiers 3

IdentifierTypeStateIssuer
00A492870MedicaidCA
AR271WOtherCAMEDICARE ID
A492870OtherCABLUE SHIELD PIN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081028000735 CA Practitioner - Obstetrics/Gynecology 0547328957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
49287CAMDProsthodontist
A49287CAMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Central Coast Health Centers CurrentSince Oct 6, 2015 Accepting new patients
Doctors Medical Center of Modesto, Inc. Past Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients
Dignity Health Past Accepting new patients
Obstetrix Medical Group of the Central Coast Professional Corporation Maternal & Fetal Medicine Past Accepting new patients

Locations

117 W Bunny Ave
Santa Maria, CA 93458
Phone (805) 739-3474

116 S Palisade Dr
Ste 104
Santa Maria, CA 93454
Phone (805) 614-2095

220 S Palisade Dr
Ste 203
Santa Maria, CA 93454
Phone (805) 354-7101

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1295741668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 S PALISADE DR STE 103",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934548904",
            "telephone_number": "805-739-3280",
            "fax_number": "805-739-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 S PALISADE DR STE 103",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934548904",
            "telephone_number": "805-739-3280",
            "fax_number": "805-739-3380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1941 Johnson Ave Ste 105B",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934014140",
            "country_code": "US",
            "telephone_number": "805-786-6170",
            "fax_number": "805-786-6171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2901 N Ventura Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "930369705",
            "country_code": "US",
            "telephone_number": "805-981-6163",
            "fax_number": "805-981-6189",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 S Palisade Dr Ste 203",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934548903",
            "country_code": "US",
            "telephone_number": "805-354-7101",
            "fax_number": "805-354-7102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "LAURENCE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "CA",
            "license": "A49287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A492870",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "AR271W",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PIN",
            "identifier": "A492870",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

Verify at the official NPI Registry.