NPIMap

Organization Active NPI

J. Anthony Shaheen MD Inc

Doing business as Monterey Urology Center

  • Urology Physician
  • Monterey, CA
National Provider Identifier
1376717025
Registry record updated Jan 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
G783340 Issued in CA
Legal business name
J. ANTHONY SHAHEEN MD INC
Doing business as
Monterey Urology Center
Practice address
910 Major Sherman LN
Ste 205
Monterey, CA 93940-4642
Phone
(831) 373-3600
Fax
(831) 373-0686
NPI assigned
Apr 14, 2008
Last updated
Jan 26, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2017

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

Authorized official

Name
Dr. John Anthony Shaheen, MDNPI 1932120474
Title
Owner/Officer
Phone
(831) 917-1785

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Therapeutic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0203X G77558 CA
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X G783340 CA Primary

Addresses

Primary practice location

910 Major Sherman LN
Ste 205
Monterey, CA 93940-4642

Mailing address

910 Major Sherman LN
Suite 205
Monterey, CA 93940-4642
Phone (831) 373-3600

Other identifiers 1

IdentifierTypeStateIssuer
G783340OtherCAPTAN

Other names 1

  • Monterey Urology Center Doing business as

National Provider Directory

National Provider Directory

Locations

910 Major Sherman Ln
Ste 205
Monterey, CA 93940
Phone (831) 373-3600

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485388800000",
    "number": "1376717025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 MAJOR SHERMAN LN",
            "address_2": "SUITE 205",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939404642",
            "telephone_number": "831-373-3600",
            "fax_number": "831-373-0686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 MAJOR SHERMAN LN",
            "address_2": "STE 205",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939404642",
            "telephone_number": "831-373-3600",
            "fax_number": "831-373-0686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. ANTHONY SHAHEEN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2017-01-26",
        "status": "A",
        "authorized_official_last_name": "SHAHEEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER/OFFICER",
        "authorized_official_telephone_number": "831-917-1785",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0203X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "CA",
            "license": "G77558",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "CA",
            "license": "G783340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "G783340",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monterey Urology Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monterey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; 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.