NPIMap

Organization Active NPI

Shaw Medical Group Professional Corporation

Doing business as Regal Family Practice Medical Center

  • Clinic/Center
  • Torrance, CA
National Provider Identifier
1376098343
Registry record updated Aug 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
714688 Issued in CA
Legal business name
SHAW MEDICAL GROUP PROFESSIONAL CORPORATION
Doing business as
Regal Family Practice Medical Center
Practice address
1001 W Carson St
Suite I
Torrance, CA 90502-2051
Phone
(310) 533-9233
Fax
(310) 533-9292
NPI assigned
Aug 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2016

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

Authorized official

Name
Dr. Betsy Alcid Shaw, MD
Title
President / Medical Director
Phone
(310) 702-7699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 714688 CA Primary

Addresses

Primary practice location

1001 W Carson St
Suite I
Torrance, CA 90502-2051

Mailing address

1001 W Carson St
Suite I
Torrance, CA 90502-2051
Phone (310) 533-9233

Other names 1

  • Regal Family Practice Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Regal Family Practice Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471564800000",
    "number": "1376098343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W CARSON ST",
            "address_2": "SUITE I",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905022051",
            "telephone_number": "310-533-9233",
            "fax_number": "310-533-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W CARSON ST",
            "address_2": "SUITE I",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905022051",
            "telephone_number": "310-533-9233",
            "fax_number": "310-533-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAW MEDICAL GROUP PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-19",
        "last_updated": "2016-08-19",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "BETSY",
        "authorized_official_middle_name": "ALCID",
        "authorized_official_title_or_position": "PRESIDENT / MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-702-7699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "714688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regal Family Practice Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; 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.