NPIMap

Organization Active NPI

Shaw Medical Group Professional Corporation

  • Family Medicine Physician
  • Torrance, CA
National Provider Identifier
1386298685
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SHAW MEDICAL GROUP PROFESSIONAL CORPORATION
Practice address
1001 W Carson St Ste I
Torrance, CA 90502-2051
Phone
(310) 533-9233
Fax
(310) 533-9292
NPI assigned
Jul 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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
Medical Director
Phone
(310) 533-9233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

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

Mailing address

1001 W Carson St Ste 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": "1564012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564012800000",
    "number": "1386298685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W CARSON ST STE 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 STE 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": "2019-07-25",
        "last_updated": "2019-07-25",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "BETSY",
        "authorized_official_middle_name": "ALCID",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-533-9233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "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 Jul 25, 2019; 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.