Kenneth L. Shapiro, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A31431 Issued in CA

Practice address

265 Posada LN
Suite C
Templeton, CA 93465-4056

Phone

(805) 239-1488

Fax

(805) 227-0263

NPI assigned

Dec 22, 2005

Last updated

Nov 14, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Coastal Communities Physician Network, Inc.

  • Health Maintenance Organization
  • San Luis Obispo, CA
  • NPI 1275735011
  NPD (past)
• Robert J. Dingler, M.D., Inc.

  dba Templeton Family Practice

  • Family Medicine Physician
  • Templeton, CA
  • NPI 1225027626
  NPD (past)

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415923200000",
    "number": "1336125178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 POSADA LN",
            "address_2": "SUITE C",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934654056",
            "telephone_number": "805-239-1488",
            "fax_number": "805-227-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 POSADA LN",
            "address_2": "SUITE C",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934654056",
            "telephone_number": "805-239-1488",
            "fax_number": "805-227-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "KENNETH",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2014-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A31431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PIN",
            "identifier": "00A314310",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE ID",
            "identifier": "P00092287",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA MEDICAL LICENSE",
            "identifier": "A31431",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH NUMBER",
            "identifier": "10971743",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN",
            "identifier": "4385363",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marci Saporita
• Mary Christine Schaff, N.P.
• Seneca Family of Agencies (Kinship Center SLO Family Ties)
• SH Squared Cares
• Asad A. Shah, M.D.
• Anthony William Sheplay, MD
• Denise Favreau Shipley, PTA
• Adriana Velez Shofner, RNFA
• Sierra Diagnostic Sleep Lab
• Stephen Tracy Sigmund, MD

• Internal Medicine Physician in Templeton, CA
• Providers in Templeton, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; 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.

Verify at the official NPI Registry.