Shaw Medical Group Professional Corporation

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

A42535 Issued in CA

Legal business name

SHAW MEDICAL GROUP PROFESSIONAL CORPORATION

Practice address

1001 W Carson St
Suite I
Torrance, CA 90502-2051

Phone

(310) 533-9233

Fax

(310) 533-9292

NPI assigned

Aug 31, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Betsy Alcid Shaw, MD

Title

President

Phone

(310) 533-9233

Specialties & licenses 2

Addresses

Other names 1

• REGAL FAMILY PRACTICE MEDICAL CENTER Doing business as

Locations

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564012800000",
    "number": "1306213889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W CARSON ST",
            "address_2": "SUITE I",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905022051",
            "telephone_number": "310-533-9233",
            "fax_number": "310-533-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W CARSON ST",
            "address_2": "SUITE I",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905022051",
            "telephone_number": "310-533-9233",
            "fax_number": "310-533-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAW MEDICAL GROUP PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-31",
        "last_updated": "2019-07-25",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "BETSY",
        "authorized_official_middle_name": "ALCID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-533-9233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "CA",
            "license": "A42535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REGAL FAMILY PRACTICE MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "REGAL FAMILY PRACTICE MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linda E. Sharp, M.D.
• Sharper Vision Centers a Medical Group Inc
• Elysa Shatz
• Shaun E Chandran M D Inc
• Christine Shaurette
• Shaw Medical Group Professional Corporation
• Shaw Medical Group Professional Corporation
• Betsy Alcid Shaw, MD
• Caitlin Taylor Shaw
• Josiah Shaw

• Community Health Clinic/Center in Torrance, CA
• Providers in Torrance, CA by specialty
• Community Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.