Paula B. Shore, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A7172 Issued in CA

Practice address

6260 El Camino Real
Carlsbad, CA 92009-1609

Phone

(760) 476-2953

NPI assigned

Aug 21, 2007

Sex

Female

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301529600000",
    "number": "1366635658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4645 PARK DR",
            "address_2": "APT C",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920084248",
            "telephone_number": "760-476-2953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6260 EL CAMINO REAL",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920091609",
            "telephone_number": "760-476-2953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORE",
        "first_name": "PAULA",
        "middle_name": "B.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-21",
        "last_updated": "2011-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A7172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "20A7172",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Bucker Shockcor
• Daniela Hijin Kim Shon, DNP
• Caitlin Shooshan, PHARMD
• Shore Crest Family Counseling Services, Corp
• Karen Gail Shore, PH.D.
• Ted Shore
• Berkeley Nicole Shores, NONE
• Henry F. Showah, M.D.
• Michelle Marie Shropshire
• Emily Anne Shumway

• Family Medicine Physician in Carlsbad, CA
• Providers in Carlsbad, 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 Mar 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.