Active NPI
Kevin Alfred Shapiro, MD, PHD
- Neurology with Special Qualifications in Child Neurology Physician
- Pasadena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- A125891
- Practice address
- 776 E Green St Ste 205
Pasadena, CA 91101-5405 - Phone
- (213) 373-4003
- NPI assigned
- Jun 13, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Neurology Physician | 2084V0102X | A125891 | CA | |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | A125891 | CA | Primary |
Addresses
Primary practice location
776 E Green St Ste 205
Pasadena, CA 91101-5405
Mailing address
731 E Walnut St
Pasadena, CA 91101-1613
Phone (415) 952-6050
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A125891 | CA | MD | Neurology with Special Qualifications in Child Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Children'S Medical Group | Current | Accepting new patients | |
| University of California San Francisco | Past | Accepting new patients | |
| Lifetime Neurodevelopmental Care Inc | Neurology With Special Qualifications in Child Neurology | Past | Accepting new patients |
| Valley Children'S Hospital | Past | Accepting new patients |
Locations
9300 Valley Childrens Pl
#5
Madera, CA 93636
Phone (559) 353-5700
9300 Valley Childrens Pl
Madera, CA 93636
Phone (559) 353-5700
1524 McHenry Ave
Ste 550570
Modesto, CA 95350
Phone (209) 572-3880
Interoperability endpoints
- kevin.shapiro.1@14973.direct.athenahealth.com
- kshapiro78007@valleychildrens-prd.direct-ci.com
Organizations & group practices 4
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.
-
- Pediatrics Physician
- Modesto, CA
- NPI 1437555265
-
- Pediatrics Physician
- Mill Valley, CA
- NPI 1790496560
Neurology With Special Qualifications in Child Neurology
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- San Francisco, CA
- NPI 1992818256
-
- Children's Hospital
- Madera, CA
- NPI 1952312043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772755200000",
"number": "1306006374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "731 E WALNUT ST",
"city": "PASADENA",
"state": "CA",
"postal_code": "911011613",
"telephone_number": "415-952-6050",
"fax_number": "415-789-4516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "776 E GREEN ST STE 205",
"city": "PASADENA",
"state": "CA",
"postal_code": "911015405",
"telephone_number": "213-373-4003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAPIRO",
"first_name": "KEVIN",
"middle_name": "ALFRED",
"name_prefix": "Dr.",
"credential": "MD, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-13",
"last_updated": "2026-03-06",
"certification_date": "2026-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084V0102X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": "CA",
"license": "A125891",
"primary": false
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "CA",
"license": "A125891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; 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.