Active NPI
Ilan Shapiro Strygler, M.D.
- Pediatrics Physician
- Commerce, CA
National Provider Identifier
1336305606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A140819
- Practice address
- 2040 Camfield Ave
Commerce, CA 90040-1502 - Phone
- (323) 725-8751
- NPI assigned
- Aug 5, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME109420 | FL | |
| Pediatrics Physician | 208000000X | 125.055481 | IL | |
| Pediatrics Physician | 208000000X | A140819 | CA | Primary |
Addresses
Primary practice location
2040 Camfield Ave
Commerce, CA 90040-1502
Mailing address
2040 Camfield Ave
Commerce, CA 90040-1502
Phone (323) 725-8751
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003814600 | Medicaid | FL |
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: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161101002332 | CA | Order and Referring Only - Pediatric Medicine | 3678741147 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 140819 | CA | MD | Marriage & Family Therapist |
| A140819 | CA | MD | Pediatrics Physician |
| 125.055481 | IL | MD | Pediatrics Physician |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465257600000",
"number": "1336305606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2040 CAMFIELD AVE",
"city": "COMMERCE",
"state": "CA",
"postal_code": "900401502",
"telephone_number": "323-725-8751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2040 CAMFIELD AVE",
"city": "COMMERCE",
"state": "CA",
"postal_code": "900401502",
"telephone_number": "323-725-8751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAPIRO STRYGLER",
"first_name": "ILAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-05",
"last_updated": "2016-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME109420",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "125.055481",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A140819",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003814600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Commerce, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.