David F Shirley M D P C

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

Legal business name

DAVID F SHIRLEY M D P C

Practice address

4001 Impala Circle
Roseville, CA 95678

Phone

(916) 677-7962

Fax

(916) 435-2964

NPI assigned

Feb 21, 2020

Organization subpart

No

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

Authorized official

Name

David F Shirley, MD

Title

Owner

Phone

(916) 677-9834

Specialties & licenses 1

Addresses

Other names 1

• David F Shirley, MD Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582243200000",
    "number": "1396378980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 STANFORD RANCH RD STE 2",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957655554",
            "telephone_number": "916-677-7962",
            "fax_number": "916-435-2964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 IMPALA CIRCLE",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "95678",
            "telephone_number": "916-677-7962",
            "fax_number": "916-435-2964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID F SHIRLEY M D P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-21",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A",
        "authorized_official_last_name": "SHIRLEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-677-9834",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.kareo.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3031 Stanford Ranch Rd Ste 2",
            "address_2": "#220",
            "city": "Rocklin",
            "state": "CA",
            "country_code": "US",
            "postal_code": "957655554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "David F Shirley, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Isaiah Daste-Haynes, MHS
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• Jovelyn A Dattolico, RPH
• Pauldeen Mikail Davejan
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• Kayla Ann David
• Maria Anna Leah Moncada David, OTR

• Geriatric Medicine (Family Medicine) Physician in Roseville, CA
• Providers in Roseville, CA by specialty
• Geriatric Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; 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.