Organization Active NPI

Roger W. Shortz, MD a Professional Corporation

  • Neurological Surgery Physician
  • Pleasant Hill, CA
National Provider Identifier
1306950951
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
ROGER W. SHORTZ, MD A PROFESSIONAL CORPORATION
Practice address
140 Gregory LN Ste 210
Pleasant Hill, CA 94523-3357
Phone
(510) 243-2130
Fax
(510) 243-2135
NPI assigned
Aug 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Authorized official

Name
Dr. Roger William Shortz, M.D., F.A.C.S.
Title
President
Phone
(510) 243-2130

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X Primary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X PT25842 CA

Addresses

Primary practice location

140 Gregory LN Ste 210
Pleasant Hill, CA 94523-3357

Mailing address

140 Gregory LN Ste 210
Pleasant Hill, CA 94523-3357
Phone (510) 243-2130

Other identifiers 1

IdentifierTypeStateIssuer
1437170651OtherCAINDIVIDUAL NPI #

Other names 1

  • BaySpine Medical Associates Doing business as

National Provider Directory

National Provider Directory

Locations

140 Gregory Ln
Ste 140
Pleasant Hill, CA 94523

140 Gregory Ln
Ste 210
Pleasant Hill, CA 94523
Phone (510) 243-2130

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1306950951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 GREGORY LN STE 210",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945233357",
            "telephone_number": "510-243-2130",
            "fax_number": "510-243-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 GREGORY LN STE 210",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945233357",
            "telephone_number": "510-243-2130",
            "fax_number": "510-243-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER W. SHORTZ, MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "SHORTZ",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-243-2130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., F.A.C.S."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "PT25842",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI #",
            "identifier": "1437170651",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BaySpine Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pleasant Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.