Brian Terry Shaw, D.O.,

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A10900 Issued in CA

Practice address

9089 Baseline Rd
Suite 100
Rancho Cucamonga, CA 91730-1295

Phone

(909) 483-0505

Fax

(909) 483-0508

NPI assigned

Sep 8, 2009

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

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

Specialty

Family PracticeAlso: Emergency Medicine

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Housecall Doctors Medical Group IncGroup PAC ID 6103802855, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Care Plus Home Health Home health agency, Laguna Hills, CA, CCN 059376
• Hoag Home Health Home health agency, Newport Beach, CA, CCN 557412
• West Coast Healthcare, LLC Hospice, San Juan Capistrano, CA, CCN 751603

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: brian.shaw@hdmg.eclinicaldirectplus.com

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.

• Housecall Doctors Medical Group Inc

  • Geriatric Medicine (Family Medicine) Physician
  • Long Beach, CA
  • NPI 1033164017
  Medicare reassignment Care Compare group NPD
• Inland Physicians Service Inc

  • Family Medicine Physician
  • Rancho Cucamonga, CA
  • NPI 1083724850
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• West Coast Healthcare LLC

  • Community Based Hospice Care Agency
  • San Juan Capistrano, CA
  • NPI 1053651372
  Care Compare affiliation Name & address match
• Care Plus Nursing Services, Inc.

  • Home Health Agency
  • Laguna Hills, CA
  • NPI 1528385143
  Care Compare affiliation
• Hoag Home Health LLC

  • Home Health Agency
  • Newport Beach, CA
  • NPI 1174192892
  Care Compare affiliation

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

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252368000000",
    "number": "1356674493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9089 BASELINE RD",
            "address_2": "SUITE 100",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917301295",
            "telephone_number": "909-483-0505",
            "fax_number": "909-483-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9089 BASELINE RD",
            "address_2": "SUITE 100",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917301295",
            "telephone_number": "909-483-0505",
            "fax_number": "909-483-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "BRIAN",
        "middle_name": "TERRY",
        "credential": "D.O.,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-08",
        "last_updated": "2009-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A10900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayat Sharif
• Abha Sharma, M.D.
• Faith Araceli Sharp
• Lindsey Sharp, OTR/L
• Andre Sharpe
• James Chung Shaw, D.D.S.
• Victoria Shaw
• Shekinah Durable Medical and Dental Equipments
• Shekinah Global Healthcare Ventures
• Shekinah Hospices Healthcare Agency

• Family Medicine Physician in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; 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.

Verify at the official NPI Registry.