Active NPI
Jarrod Matthew Shapiro, DPM
- Podiatrist
- Pomona, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E4884
- Practice address
- 795 E Second St
Suite 7
Pomona, CA 91766-2007 - Phone
- (909) 706-3877
- Fax
- (909) 706-3942
- NPI assigned
- Jul 17, 2006
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E4884 | CA | |
| Podiatrist | 213E00000X | E4884 | CA | Primary |
| Foot Surgery Podiatrist | 213ES0131X | E4884 | CA | |
| Primary Podiatric Medicine Podiatrist | 213EP1101X | E4884 | CA | |
| Radiology Podiatrist | 213ER0200X | RHD00169584 | CA | |
| Sports Medicine Podiatrist | 213ES0000X | E4884 | CA |
Addresses
Primary practice location
795 E Second St
Suite 7
Pomona, CA 91766-2007
Mailing address
795 E Second St
Suite 5
Pomona, CA 91766-2007
Phone (909) 706-3877
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DL059Y | Other | CA | MEDICARE NO CA PTAN |
| DL059Z | Other | CA | MEDICARE PTAN SO CAL |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- California School of Podiatric Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
299 W Foothill Blvd
Suite 124
Upland, CA 91786-3854
Phone (909) 946-6643
6216 Brockton Ave
Suite 211
Riverside, CA 92506-2223
Phone (909) 946-6643
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 37 |
| Removal of nail tissue | 136 |
| Removal or shaving of skin growth | 53 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RHD00169584 | CA | MD | Radiology Podiatrist |
| 4884 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Foot and Ankle Center Inc | Foot & Ankle Surgery | Current | Accepting new patients |
| Western University of Health Sciences | Podiatrist | Current | Accepting new patients |
| Empire Foot and Ankle Center Inc. | Foot & Ankle Surgery | Current | Accepting new patients |
| Yong Luke Lee Medical Corporation | Past | Accepting new patients | |
| Edward W Sparrow Hospital Association | Past | Accepting new patients | |
| Pomona Valley Hospital Medical Center | Past | Accepting new patients | |
| Casa Colina Hospital and Centers for Healthcare | Past | Accepting new patients |
Locations
5365 Walnut Ave
Ste M
Chino, CA 91710
Phone (909) 364-1088
795 E 2nd St
Ste 5
Pomona, CA 91766
Phone (909) 706-3877
795 E 2nd St
Ste 8
Pomona, CA 91766
Phone (909) 469-8673
795 E 2nd St
Ste 7
Pomona, CA 91766
Phone (909) 469-8673
8686 Haven Ave
Ste 200
Rancho Cucamonga, CA 91730
Phone (909) 706-3950
8112 Milliken Ave
Ste 101-2
Rch Cucamonga, CA 91730
Phone (909) 706-3950
6216 Brockton Ave
Ste 211
Riverside, CA 92506
Phone (909) 772-4226
3521 Lomita Blvd
Ste 103
Torrance, CA 90505
299 W Foothill Blvd
Ste 124
Upland, CA 91786
Phone (909) 946-6643
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- jshapiro148010@direct.ochin.org
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.
-
- Foot & Ankle Surgery Podiatrist
- Upland, CA
- NPI 1205387461
-
- Foot & Ankle Surgery Podiatrist
- Riverside, CA
- NPI 1700535705
-
- Family Medicine Physician
- Pomona, CA
- NPI 1679515217
Podiatrist
-
- General Acute Care Hospital
- Pomona, CA
- NPI 1952777245
-
- General Acute Care Hospital
- Pomona, CA
- NPI 1518067586
-
- Rehabilitation Hospital
- Pomona, CA
- NPI 1114245883
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1073588711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486080000000",
"number": "1316964992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "795 E SECOND ST",
"address_2": "SUITE 5",
"city": "POMONA",
"state": "CA",
"postal_code": "917662007",
"telephone_number": "909-706-3877",
"fax_number": "909-706-3942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "795 E SECOND ST",
"address_2": "SUITE 7",
"city": "POMONA",
"state": "CA",
"postal_code": "917662007",
"telephone_number": "909-706-3877",
"fax_number": "909-706-3942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAPIRO",
"first_name": "JARROD",
"middle_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2017-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E4884",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CA",
"license": "E4884",
"primary": true
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "CA",
"license": "E4884",
"primary": false
},
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "CA",
"license": "E4884",
"primary": false
},
{
"code": "213ER0200X",
"taxonomy_group": "",
"desc": "Podiatrist, Radiology",
"state": "CA",
"license": "RHD00169584",
"primary": false
},
{
"code": "213ES0000X",
"taxonomy_group": "",
"desc": "Podiatrist, Sports Medicine",
"state": "CA",
"license": "E4884",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NO CA PTAN",
"identifier": "DL059Y",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN SO CAL",
"identifier": "DL059Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.