Active NPI
Roger W. Shortz, MD a Professional Corporation
- Neurological Surgery Physician
- Pleasant Hill, CA
National Provider Identifier
1306950951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | |||
| Neurological Surgery Physician | 207T00000X | Primary | ||
| Physical Medicine & Rehabilitation Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437170651 | Other | CA | INDIVIDUAL NPI # |
Other names 1
- BaySpine Medical Associates
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Walnut Creek, CA
- NPI 1952498123
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.